A/R Follow-up Manager

• Lead A/R follow-up operations across commercial, Medicare, Medicaid, and managed care payers, ensuring timely resolution of outstanding claims.
• Evaluate AI-generated A/R follow-up recommendations, claim status inquiry outputs, and payer correspondence drafts for accuracy and effectiveness.
• Manage claim status follow-up workflows including electronic claim status inquiries (276/277 EDI), payer portal follow-up, and phone-based resolution.
• Prioritise A/R queues by ageing bucket, payer, and dollar value to maximise revenue recovery.
• Identify and resolve claim payment discrepancies, payer processing errors, and underpayments.
• Monitor A/R KPIs including days in A/R, ageing bucket distribution, collection rates, and write-off rates.
• Develop and implement payer-specific follow-up strategies to accelerate claim resolution.
• Ensure compliance with FDCPA, HIPAA, and payer-specific follow-up and timely filing requirements.
• Annotate AI outputs and provide structured feedback to support AI training datasets.

• 5+ years of experience in A/R follow-up, payer collections, or revenue cycle operations, with at least 2 years in a management role.
• Deep knowledge of claim status follow-up workflows, EDI 276/277 transactions, and payer-specific collections processes.
• Strong understanding of Medicare, Medicaid, and commercial payer claims processing and payment timelines.
• Experience prioritising and managing high-volume A/R queues across multiple payers.
• Proficiency with billing systems and A/R management platforms.
• Exceptional written and verbal English communication skills.
• High attention to detail with the ability to identify payment errors and discrepancies in AI-generated A/R content.

• CRCR, CPC, or CHFP certification.
• Experience with RCM technology platforms featuring automated A/R follow-up capabilities.
• Background in multi-payer follow-up operations in hospital or physician group settings.
• Familiarity with AI tools and comfort evaluating AI-generated A/R follow-up content.
• Experience developing A/R reduction action plans and presenting performance to leadership.

Project and contracting process: Mercor. Applications continue on the provider's website.