A/R Efficiency and Quality Lead

Position Summary

The Accounts Receivable Operations Lead serves as the subject matter expert and advisor for all Accounts Receivable processes, driving efficiency, accuracy, and compliance across internal operations and external client partnerships.

This role leads process improvement initiatives, supports complex reconciliation and remittance issues, and ensures adherence to government, client, and company guidelines.

"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."

Key Duties and Responsibilities


* Serves as the department expert on end-to-end Accounts Receivable workflows from employer submission through internal processing, reconciliation, and financial reporting.


* Works collaboratively with internal teams and external client employers to establish, communicate, and implement best practices for Accounts Receivable


* Leads the evaluation, design, and implementation of Accounts Receivable process improvements, determining appropriate methodologies, priorities, and solutions with minimal supervision.

Identify, develop, document, and maintain standard operating procedures (SOPs) for all aspects of Accounts Receivable services across clients and administration systems


* Presents new procedures, initiatives, and technology to internal staff and client employers


* Advises the VP of Accounts Receivable and Chief Operation Officer on Accounts Receivable performance trends, risks, and recommended operational improvements Analyzes complex reconciliation issues and irregularities, determines root causes and develops recommended resolutions and process changes to prevent recurrence.


* Handles complex employer remittance inquiries via telephone and electronic modes.


* Serves as a subject matter expert on:
+ Department accounts receivable processes, including COBRA payments, self-pay payments, refund requests, and cash receipts.
+ Employer contract setup, maintenance, and system updates
+ Contribution report preparation and processing
+ Payment reconciliation to administration systems and bank postings
+ Discrepancies research, credits processing, and retro-payment processing
+ Delinquency management and payroll audit processing
+ Month-end review, research, correction, and balancing activities


* Develops and supports training content and knowledge resources for Accounts Receivable staff and provides expert guidance on complex processes and system functionality.


* Conducts research and resolves complex technical issues and irregularities


* Contributes to cross-functional special projects impacting Accounts Receivable operations and client outcomes, as assigned by Accounts Receivable Supervisor or Manager.


* Performs other duties as assigned.

Minimum Qualifications


* Associate's degree in a related field and two years of experience i...