Job Details

Location: West Coast (California experience required) Organization: Fast-Growing Multi-Site Healthcare Practice
About the Role

Our rapidly expanding, multi-site healthcare organization is searching for a highly skilled Accounts Receivable & Collections Manager to build, lead, and scale a best-in-class AR and denial prevention function. This is a role for someone who thrives in fast-growth environments, loves solving complex AR challenges, and has a proven track record of recovering legacy and extremely aged AR across diverse payer types.

If you're a collections ninja with deep California healthcare expertise-including workers' compensation-and you're ready to architect a high-performing collections department from the ground up, we want to meet you.

Key Responsibilities

AR & Collections Leadership

• Build a comprehensive AR and collections department from scratch, including workflows, staffing models, KPIs, and reporting structures.
• Lead the recovery of legacy AR, including accounts aged 180+ days, with a focus on high-complexity payer scenarios.
• Develop and implement aggressive yet compliant collection strategies tailored to commercial, government, and workers' compensation payers.
• Establish and maintain AR dashboards, aging reports, and performance metrics to drive accountability and transparency.

Denial Prevention & Revenue Optimization

• Analyze denial trends and root causes; collaborate with coding, billing, and clinical teams to implement prevention strategies.
• Create standardized denial management workflows and escalation pathways.
• Partner with payers to resolve systemic issues and negotiate resolutions for high-value or disputed claims.
• Ensure compliance with California-specific billing, reimbursement, and workers' compensation regulations.

Operational Excellence

• Design and refine end-to-end AR processes to support a multi-site, high-volume practice.
• Train and mentor staff on best practices in collections, denial management, and payer communication.
• Collaborate with finance leadership to forecast cash flow, identify revenue risks, and support month-end close activities.
• Implement technology solutions (EHR, clearinghouse tools, analytics platforms) to streamline AR operations.

Qualifications

Required

• 5+ years of progressive experience in healthcare AR, collections, and denial management.
• Demonstrated success recovering legacy and very old AR, including complex payer scenarios.
• California healthcare billing and reimbursement experience (non-negotiable).
• Workers' compensation expertise, including knowledge of CA WCAB rules, fee schedules, and dispute processes.
• Proven ability to build or rebuild AR/collections teams, systems, and workflows from the ground up.
• Strong understanding of payer contracts, appeals, and regulatory requirements.
• Experience in multi-site or multi-specialty healthcare organizations.

Preferred

• Experience in a fast-growth or private-equity-backed healthcare environment.
• Familiarity with high-volume outpatient or specialty practices.
• Advanced Excel or analytics skills.

What Success Looks Like

• Rapid reduction in aged AR, especially 120+ and 180+ day buckets.
• Significant improvement in denial rates and first-pass resolution.
• Strong cross-departmental collaboration and payer relationship management.
• Predictable, optimized cash flow supporting organizational growth.

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance.