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About the Role

The AR Senior Manager – Insurance Follow-Up plays a critical leadership role in strengthening the financial health of clients and the organization by driving revenue performance, reducing A/R, and ensuring teams deliver high-quality results. This role requires inspiring, supporting, and developing Account Managers, building accountability, and translating data, process, and people leadership into operational impact. The AR Senior Manager will create a culture of excellence, ownership, and continuous improvement while ensuring clients receive the partnership, visibility, and outcomes they need to succeed.

Responsibilities

Own and drive revenue performance across a portfolio of client accounts, ensuring A/R reduction, denial resolution, and overall revenue goals.
Provide leadership, oversight, and direction to AR Account Managers, ensuring consistency, effectiveness, and accountability.
Review AR Account Manager reporting related to revenue targets and client performance.
Establish clear expectations for AR Account Managers regarding account management, team performance, reporting accuracy, client communication, and operational execution.
Monitor the effectiveness of Account Manager workflows, team strategies, and escalation processes.
Identify trends, risks, and performance gaps across assigned accounts and partner in implementing corrective action plans.
Serve as a senior escalation point for complex client concerns, operational challenges, payer-related issues, and revenue-impacting risks.
Partner with executive leadership to provide high-level visibility into account performance, revenue trends, onboarding progress, operational risks, and recommended solutions.
Collaborate on onboarding setup of new clients, ensuring timelines, workflows, staffing plans, system access, reporting structures, and operational readiness are completed successfully.
Track, report, and improve the speed, quality, and success of new client onboarding.
Partner with Client Success Managers and AR Account Managers on client satisfaction and long-term retention.
Ensure consistent communication and collaboration between AR Account Managers and other client-facing stakeholders.
Lead regular performance review meetings with AR Account Managers.
Support the hiring, training, coaching, and development of AR Account Managers.
Promote leadership development among AR Account Managers.
Foster a high-performance leadership culture driven by accountability, consistency, operational excellence, continuous improvement, and revenue growth.

Requirements

Minimum of 5-8 years of experience in revenue cycle management, including physician collections, insurance follow-up, A/R management, denial management, and client account oversight.
Minimum of 4+ years in a leadership or management role, with experience managing managers or multiple teams preferred.
Strong understanding of billing, coding, CPT, ICD-10, payer guidelines, denial workflows, and healthcare reimbursement processes.
Proven track record of driving revenue performance, reducing A/R, improving collections, and achieving operational goals.
Experience overseeing multiple client accounts and managing account-level financial performance.
Experience reviewing, analyzing, and presenting performance data, including revenue metrics, A/R aging, cash collections, denial trends, and productivity results.
Strong ability to coach, mentor, and hold managers accountable to performance expectations.
Advanced proficiency in Microsoft Office applications, especially Excel, and experience with reporting tools and performance dashboards.
Excellent communication, leadership, analytical, problem-solving, and interpersonal skills.
Ability to manage multiple priorities, client needs, operational issues, and leadership responsibilities in a fast-paced environment.
In-depth knowledge of HIPAA regulations and healthcare privacy laws.
Strong leadership presence with the ability to influence, motivate, and develop Account Managers and high-performing teams.
Strategic thinker with a results-driven, revenue-focused, and client-focused mindset.
Strong ability to identify root causes of revenue-impacting issues and implement sustainable improvements.
Demonstrated ability to standardize processes, improve consistency, and strengthen management practices across multiple teams and accounts.

Skills

Revenue Cycle Management
Insurance Follow-Up
A/R Management
Denial Management
Client Account Oversight
Leadership
Team Management
Performance Data Analysis
Microsoft Office (Excel)
Reporting Tools
Performance Dashboards
Communication
Analytical Skills
Problem-Solving
Interpersonal Skills
HIPAA Compliance
Strategic Thinking
Process Standardization

Experience Level

5-8 years in revenue cycle management
4+ years in a leadership or management role

Education Level

High School Diploma or equivalent required
Bachelor’s degree preferred

Salary/Compensations

$65,000—$85,000 USD

Benefits

Health insurance
Dental insurance
Vision insurance
Employee assistance plan
Paid family leave
Short-term disability insurance
Life insurance
401(k) plan with employer match
Flexible spending accounts
Employee discount program
Employee referral program

About the Company

Alteva RCM is dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions.
We are looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.