Collections Manager - Remedial Pro LLC -One Site
Location: Boca Raton, FL
Remedial Pro is seeking an experienced Collections Manager to oversee insurance and patient account collections, improve cash flow, and reduce outstanding accounts receivable. The ideal candidate will have a strong background in medical billing, insurance collections, and team leadership.
Key Responsibilities
Revenue Recovery & Collections
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Manage all collections activities for commercial, Medicare, Medicaid, TRICARE, VA, and managed care payers.
- Monitor and reduce accounts receivable aging across all levels of care, including Detox, Residential, PHP, IOP, OP, and Medication Management.
- Prioritize high-dollar accounts and timely follow-up on unpaid, denied, and underpaid claims.
- Ensure all payer follow-up activities are completed within established timelines.
- Develop and implement collection strategies that maximize reimbursement and improve cash flow.
- Monitor payer trends, identify recurring reimbursement issues, and implement corrective action plans.
- Collaborate with Billing, Payment Posting, Credentialing, Utilization Review, and Contracting teams to resolve reimbursement barriers.
Accounts Receivable Management
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Review and monitor aging reports by payer, facility, and representative.
- Establish productivity standards and collection goals for the department.
- Ensure timely resolution of:
- Denials
- Underpayments
- No-response claims
- Appeals
- Coordination of Benefits issues
- Authorization-related denfor adjustments
- Monitor write-offs and recommend recovery opportunities.
Leadership & Team Development
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Lead, coach, mentor, and develop the Collections team.
- Conduct regular one-on-one meetings, performance evaluations, and coaching sessions.
- Monitor staff productivity, quality, and KPI performance.
- Develop training materials and standard operating procedures (SOPs).
- Foster a culture of accountability, teamwork, and continuous improvement.
Reporting & Analytics
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Analyze collection performance and reimbursement trends.
- Prepare weekly and monthly executive reports that include:
- Accounts Receivable Aging
- Collection Rate
- Recovery Rate
- Denial Trends
- Underpayment Analysis
- Payer Performance
- Cash Collections
- Identify operational opportunities that improve reimbursement and reduce AR days.
- Present recommendations to executive leadership.
Compliance & Regulatory
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Ensure compliance with:
- HIPAA
- CMS regulations
- Commercial payer guidelines
- Medicaid billing requirements
- Medicare regulations
- Maintain accurate documentation within the billing system.
- Partner with Compliance and Legal teams regarding payer disputes and escalated accounts.
Cross-Functional Collaboration
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Partner closely with:
- Billing
- Credentialing
- Contracting
- Utilization Review
- Admissions
- Finance
- Clinical Leadership
- Assist with root-cause analysis of revenue cycle issues.
- Support implementation of new payer contracts and reimbursement initiatives.
What We Offer
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Competitive salary
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Bonus opportunities
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Health benefits
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Paid time off
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Career growth and development opportunities
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Supportive team environment
Equal Opportunity Employer
Remedial Pro is an Equal Opportunity Employer committed to fostering a diverse and inclusive workplace.
