Medical Billing and AR Manager - Oxford Solutions, Inc

Oxford Solutions is working with an assisted technology medical device client in Pittsburgh, PA looking to fill a role for a Medical Billing and AR Manager. This role is hybrid in Pittsburgh.

Seeking a dynamic and experienced Medical Billing and AR Manager to lead the Funded Billing and Cash Posting teams. In this role, you will manage billing claims, oversee cash receipts and denial postings, and ensure efficient operations and compliance with regulatory and payer requirements.

Responsibilities

• Build, lead, and develop a high-performing Billing & Cash Posting team, ensuring efficiency and growth.
• Manage day-to-day billing claims to insurance companies and governmental agencies, as well as timely and accurate cash receipts and denial postings.
• Act as the go-to resource for escalated issues, such as customer inquiries, sales staff concerns, and third-party payer challenges.
• Develop and implement efficient processes, tools, and templates to streamline operations and support strategy execution.
• Hire, train, and coach team members, providing regular performance feedback and ensuring team compliance with corporate policies, payer requirements, and government regulations.
• Work closely with the Collections, Funding, and Contracting teams to ensure cohesive and efficient cross-department operations.
• Compile and analyze reports to reflect Billing & Cash Posting activities, driving data-driven improvements.
• Engage in continuous process improvement initiatives, particularly in leveraging technology for enhanced efficiency.

Qualifications

• Bachelor’s degree with at least 5 years of experience in medical collections, or 3 years of medical accounts receivable management in a complex payer setting.
• Strong knowledge of state, federal, and third-party payer criteria
• Knowledge of Durable Medical Equipment (DME) Billing and Prior Authorization preferred
• Familiarity with payment posting processes, contractual adjustments, and refunds.
• Excellent communication, leadership, and customer service skills.
• Proficient in MS Office (Word, Excel, PowerPoint, Outlook); experience with healthcare database applications and IT process enhancements preferred.
• Ability to lead a team in a fast-paced, changing environment, with a focus on efficiency and results.
• Proven ability to implement process improvements and drive digitalization and automation.