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AR Manager | Medicare

Infinx -
Remote

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Job Details

Full-time
$42 - $48 an hour

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Paid time off
Employee assistance program
Vision insurance
Flexible schedule

Qualifications

Appeals
Medicare
Accounts receivable management
Team leadership
Operational management
Overseeing healthcare denial management
CMS
CMS regulatory compliance
Medicare regulations
Medical insurance appeals management
Centers for Medicare & Medicaid Services (CMS) billing regulations
Managing insurance claims teams
Medical claims submission
Epic
Managing medical billing & coding team teams
Insurance claims appeal handling
Medical debt collection accounts
Collections account management

Full Job Description

About Our Company:
At Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups.
We're looking for experienced associates and partners with expertise in areas that align with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing revenue. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard.

A 2025 Great Place to Work®

In 2025, Infinx was certified as a Great Place to Work® in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S.

ABOUT THE ROLE
The Billing Operations & Medicare AR Manager is responsible for overseeing Hospital Billing (HB) and Professional Billing (PB) billing operations, ensuring the timely and accurate submission of claims, resolution of claim edits and rejections, management of Direct Data Entry (DDE) activities, and optimization of billing workflows. This role also provides leadership for Medicare Accounts Receivable (AR) management, focusing on reducing aging, resolving reimbursement issues, recovering underpayments, and improving overall collection performance.
The manager leads billing and Medicare AR teams, drives operational excellence, ensures compliance with Medicare regulations, and partners with internal stakeholders to maximize reimbursement and minimize revenue leakage across both facility and professional billing operations.

Location: Remote

Responsibilities:

Billing Operations Management (HB & PB)
- Manage day-to-day Hospital Billing (HB) and Professional Billing (PB) billing operations
- Oversee claim generation, claim validation, and claim submission processes.
- Monitor and resolve billing edits, front-end claim rejections, and payer submission issues
- Manage Medicare Direct Data Entry (DDE) activities, including claim corrections, status reviews, RTP (Return to Provider) claims, and billing issue resolution
- Ensure claims are submitted accurately and within established filing deadline
- Develop and implement processes to improve clean claim rates and reduce avoidable rework
- Monitor billing work queues and productivity standards
- Coordinate with Coding, Revenue Integrity, Patient Financial Services, and Clinical departments to resolve billing-related issues
- Ensure compliance with Medicare, Medicaid, and commercial payer billing requirements
Medicare Accounts Receivable Management
- Oversee Medicare AR follow-up activities for both HB and PB accounts.
- Monitor Medicare aging inventories and prioritize collection efforts.
- Manage resolution of unpaid, partially paid, and denied Medicare claims.
- Review and resolve RTP claims, denials, underpayments, medical necessity issues, coverage-related denials, and billing-related reimbursement delays
- Ensure timely and effective appeal submission when appropriate.
- Identify denial and AR trends and implement corrective action plans.
- Work closely with billing teams to address root causes impacting Medicare reimbursement

Required Qualifications:

Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field
- Equivalent combination of education and experience may be considered
5+ years of experience in healthcare billing operations
3+ years of leadership experience managing billing and/or accounts receivable teams
Extensive experience with both Hospital Billing (HB) and Professional Billing (PB) operations
Strong Medicare billing and AR management experience
Experience working with Medicare DDE
Comprehensive understanding of Medicare billing regulations, DDE processes, claim edits and rejections, hospital billing (HB), professional billing (PB), Medicare AR follow-up and collections, as well as denial management and appeals
Knowledge of UB-04 and CMS-1500 claim processing
Strong analytical and problem-solving skills
Experience with Epic Resolute HB/PB
Excellent communication and leadership abilities

Company Benefits and Perks:
Joining Infinx comes with an array of benefits, flexible work hours when possible, and a genuine sense of belonging to a dynamic and growing organization.

Access to a 401(k) Retirement Savings Plan.
Comprehensive Medical, Dental, and Vision Coverage.
Paid Time Off.
Paid Holidays.
Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services.

If you are a dedicated and experienced AR Manager ready to contribute to our mission and be part of our diverse and inclusive community, we invite you to apply and join our team at Infinx.

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