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Sr. Associate, Accounts Receivable Management
2 weeks ago
Care Options for Kids connects leading pediatric specialists with families to provide best-in-class pediatric therapy, nursing, and school-based services. We seamlessly integrate into children’s lives by bringing individualized care to children where they live, work, and play. Our pediatric specialists are committed to providing high-quality pediatric services that help children and families live their best lives. We empower our community of clinicians to meet children where they are by providing the support and resources necessary to decrease administrative burdens. This focus allows our clinicians to obtain optimal work-life balance. Senior Associate, Accounts Receivable Management Position Summary: The Senior Associate role serves as a subject matter expert and escalation point within the revenue cycle team. This role requires advanced knowledge of revenue cycle operations, independent problem-solving, and a proactive, solution-oriented mindset. This position requires ownership of complex cases, drives resolution strategies, and delivers exceptional service to both internal and external stakeholders. This position is ideal for a seasoned professional who thrives in a fast-paced, collaborative environment and is committed to continuous improvement and operational excellence. Functional Responsibilities: Depending on your assigned function, your responsibilities may include: Authorization Services: verification of insurance benefits, coordination of benefits, and authorization obtainment for on-going services that supports access to care and high collection rate. Billing/Accounts Receivables: accurate and timely bill submission, denied claim management and A/R management for all payor types that enables high compliance and timely collection. Cash Services: entry of payment and adjustment transactions into EMR system, reconciliation of transactions against deposits and monitoring of incorrectly paid claims to support efficient payment and accurate accounting for A/R. Revenue Cycle Operations: provision of technical and business support to revenue cycle teams that provides integration, scale and controls. Note: All roles include administrative tasks that support core revenue cycle outcomes. Education, Experience, and Competencies: Minimum 3 years of experience in healthcare revenue cycle management, with a focus on billing, A/R, or authorizations. Demonstrated success in resolving complex RCM issues independently. High school diploma or GED required; associate or bachelor’s degree preferred. Advanced proficiency with EMR systems, payer portals, and Microsoft Office tools. Experience working with Texas payors/MCOs, preferred. Strong understanding of payer policies, coding, and reimbursement methodologies. Exceptional communication and customer service skills, with the ability to de-escalate and resolve sensitive issues. Proven ability to manage competing priorities and meet deadlines in a remote work environment. General Duties and Responsibilities: General understanding of the departments and functions across the organization, especially those that interlock workflow with RCM in order to assist and direct possible issues to the appropriate department or expertise when needed. Manage and resolve high-complexity revenue cycle issues, including escalated claims, denials, and payer disputes. Independently analyze and troubleshoot systemic issues impacting billing, collections, or authorizations. Serve as a resource and mentor to junior associates, providing guidance on best practices and complex scenarios. Collaborate cross-functionally with clinical, operational, and technical teams to streamline workflows and improve outcomes. Identify and implement process improvements that enhance efficiency, accuracy, and compliance. Maintain detailed documentation of actions taken and outcomes achieved in EMR and other systems. Represent the revenue cycle team in cross-departmental meetings and initiatives. Adherence to the company’s telecommuter policy. Core Competencies: Autonomous Ownership: Takes full responsibility for assigned tasks and sees them through to resolution with minimal oversight. Advanced Problem-Solving: Uses critical thinking and data analysis to identify root causes and implement effective solutions. Escalation Expertise: Skilled in navigating payer systems and internal processes to resolve high-level issues. Customer-Centric Mindset: Delivers outstanding service to patients, providers, and internal teams. Process Improvement: Continuously seeks opportunities to enhance workflows and reduce inefficiencies. Mentorship & Collaboration: Supports team development and fosters a culture of knowledge-sharing. Core Revenue Cycle Key Performance Indicators (KPIs): Days Sales Outstanding (DSO): Average # of days to receive payment for services. Operational efficiency measure. Company target is < 25 days. Aged Accounts Receivable (AAR): % of accounts receivable greater than 90-days as compared to total A/R. Company target is
