AR Manager, Medicare

Infinx

Billing Operations & Medicare AR Manager overseeing billing operations at Infinx, focused on Medicare AR management and operational excellence in healthcare.

Posted 6/23/2026full-timeMobile • Alabama • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

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
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

Requirements

What you’ll need

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

Benefits

Comp & 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.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Hospital Billing (HB)Professional Billing (PB)Medicare billingAccounts Receivable (AR) managementMedicare Direct Data Entry (DDE)Claim processingDenial managementAppeals submissionUB-04CMS-1500

Soft Skills

LeadershipAnalytical skillsProblem-solving skillsCommunicationCollaboration