Receivables and Medical Claims Manager

At the Vitrolife Group, we work every day to unlock the full potential of science and technology to reduce the barriers towards building a family. Together we help our customers and their patients to fulfill the dream of having a baby.

Location: Miami (On-site) / Hybrid

Position Summary

The Receivables and Medical Claims Manager is an experienced leader who will not only manage a team of receivable and medical claims specialists but will also be responsible for driving operational excellence in both the accounts receivables and medical claims functions. This individual will develop a high performing team while proactively assessing and optimizing workflows with the goal of maximizing efficiency, reducing bad debt, improving cash flow, and delivering superior customer experiences.

Key Responsibilities

• Lead and supervise the accounts receivables and medical claims teams, fostering high performance and accountability.
• Analyze, redesign, and optimize receivables and claims processes to eliminate inefficiencies, streamline workflows, and leverage automation where appropriate.
• Drive process improvement initiatives focused on reducing bad debt, boosting collection rates, and enhancing customer/patient satisfaction.
• Monitor and manage receivables aging to ensure timely collections and reductions in DSO and bad debt.
• Monitor and manage medical claims workflow to ensure timely claims submission and settlement.
• Oversee and resolve complex operational matters requiring senior-level attention such as claims denials, appeals, and single case agreements.
• Support contracting and credentialing, as needed.
• Serve as escalation point for customer, patient, and payer disputes.
• Foster strong working relationships with insurance payers and key clients to ensure customer satisfaction while meeting internal objectives.
  
  

Qualifications

• Associate's degree in Accounting, Finance, Healthcare Administration, or a related field.
• 6 years of progressive experience in accounts receivable, medical claims management, or revenue cycle management.
• 2 years in a supervisory or managerial role.
  
  

Desired Skills & CompetenciesBenefitsAn offer of employment is contingent on the successful passing of a background check. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.

• Excellent leadership and team management skills across diverse functional areas.
• Demonstrated ability to implement process improvements and drive measurable results.
• Superior analytical, problem-solving, and decision-making abilities.
• Strong communication and interpersonal skills.
• Detail-oriented and highly organized, with ability to multitask in deadline-driven environments
• Paid Time Off and 10 Paid Holidays
• 401(k) with Employer Match
• Medical, Dental, Vision
• IVF Coverage to support family building needs
• GAP Insurance
• Basic Life and AD&D Coverage
• Short- and Long-Term Disability
• Optional AFLAC Supplemental Policies
• Employee Assistance Program (EAP)
• Flexible Spending & Health Savings Account
  
  

Vitrolife Group is a global provider of medical devices and genetic services. Based on science and advanced research capabilities, we develop services and products for personalized genetic information and medical device products. We support our customers by improving their clinical practice for the patient's outcome of fertility treatment.

We are currently approximately 1 100 colleagues worldwide, with headquarters in Gothenburg, Sweden. Vitrolife Group's products and services are available in more than 110 countries through our own presence in 30 countries and a network of distributors. Vitrolife Group is a sustainable market leader and aims to be the preferred partner for IVF-clinics by providing superior products and services with the vision of fulfilling the dream of having a baby. The Vitrolife share is listed on Nasdaq Stockholm.