The CRS Manager will begin their role by working at the CRS level to gain a comprehensive understanding of current workflows and processes. Supervisory responsibilities will be assigned once foundational expectations have been met, ensuring a smooth transition into management. As the CRS Manager, you are expected to meet all CRS productivity standards while managing a team of Claims Resolution Specialists (CRS) supporting the client account.
A Day in the Life
- Supervise and support the CRS Team; respond to claim-related questions and oversee daily workflow.
- Serve as a go-to resource for team members to address issues and promote operational efficiency.
- Distribute and monitor daily worklists; ensure timely and accurate completion of assignments.
- Conduct daily productivity reviews and promptly report any team member not meeting performance standards.
- Perform random claim audits to identify training needs, improve processes, and streamline claim resolution.
- Manage ADP tasks for the team, including:
- Monitoring daily attendance.
- Reviewing and correcting missed punches.
- Approving PTO requests with a workload coverage plan in place.
- Develop and refine workflows as needed or directed by leadership.
- Collaborate with management on strategies to effectively manage accounts receivable (AR).
- Train and participate in hiring and onboarding new team members.
Analytical & Technical Responsibilities
- Review AR reports and identify root causes of outstanding claims or denial trends; communicate issues and recommend solutions.
- Use the Month End deck to demonstrate how daily work impacts overall performance and identify areas requiring focus.
- Leverage Excel to track trends, compile data, and build client-ready reporting; ongoing Excel training will support this skill development.
- Be proficient in Activity Wizard to analyze worklists, identify gaps in workflows, and drill into claim-level issues.
- Assist in building custom Excel reports and data extracts to communicate trends and performance to the client and leadership.
- Participate in a dedicated training session (post-CRS hiring) on worklist and report analysis to support client reporting and operational insight.
Client-Facing & Communication Expectations
- Maintain a professional and responsive approach when communicating with the client; this client regularly reaches out directly to CRS Managers.
- If unsure how to respond to a client request or question, escalate to the Account Manager for guidance.
- Represent the team effectively and confidently during client interactions and internal calls.
Project & Operational Management
- Lead or participate in project management efforts using shared tools such as:
- Shared networks, Wrike, spreadsheet trackers, and the client tracking sheet.
- Manage and update internal tools used to monitor CRS progress, client expectations, and operational initiatives.
- Ensure action items from calls and meetings are tracked and completed in a timely manner.
Monthly & Ongoing Responsibilities
- Create and maintain agendas for monthly regional calls, lead meetings and document key points and action items.
- Prioritize work strategically during the last week of each month to optimize month-end performance.
- Assist in preparing monthly reports and attend AR/client meetings as needed.
- Develop and maintain weekly Operations meeting agendas, lead meetings and document meeting minutes.
- Drive accountability on follow-ups and ensure all initiatives are tracked and completed
Other tasks
- Employees must abide by employee handbook, company rules, client’s rules, and law. Any concerns must be reported to the supervisor or compliance officer.
- You will be responsible for holding employees to the standard set and implementing Performance Improvement Plans where employees fail to meet the guidelines
- You will maintain a good working relationship with the members of the leadership team and will help in all areas to help improve the company. Demonstrate competency as a claims resolution specialist for a large-scale multi-specialty/multi-site healthcare organization in the U.S.
- Other duties as assigned.
What You Need
- 5+ years of experience in claims resolution or medical billing.
- A minimum of 5 years of documented experience on the Athena billing platform is required Cerner and NextGen experience a plus.
- Complete understanding of follow-up processes.
- Solid background in AR and overall Revenue Cycle policies and procedures.
- Experience working in a medical billing environment where compliance with protected health information and HIPAA compliance is strongly enforced
- Excellent communications skills.
- Excellent systems experience and acuity. (EMR and Billing and Collection Systems). Multi-system and multi-specialty experience is preferred.
- Proficiency in Microsoft Office Suite, including Word and Excel.
- Bachelor’s degree, medical billing certificate preferred
- Ability to communicate orally and in writing in a clear and straightforward manner
- Ability to communicate effectively with senior leadership and company personnel
- Ability to effectively plan/manage/lead projects
- Ability to make decisions and solve problems while working under pressure
- Ability to prioritize and organize effectively
- Ability to show judgment and initiative and to accomplish job duties
- Ability to work independently
- Strong Business Acumen
- Strong communication skills including public speaking
We offer competitive benefits to set you up for success in and outside of work.
Here’s What We Offer
- Generous Paid Time Off: Recharge and relax with 20 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performance.
- Best-in-Class Parental Leave: Spend quality time with your growing family. We offer one of the industry’s most generous parental leave policies to support you during life’s most important moments.
- Recognition & Rewards: We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won’t go unnoticed.
- Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insurance.
Innovaccer Inc. is an equal opportunity employer. We celebrate diversity and are committed to fostering an inclusive workplace where all employees feel valued and empowered regardless of any characteristic protected by federal, state or local law including, without limitation, race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, medical condition, disability, age, marital status, or veteran status. Innovaccer Inc. participates in the E-Verify program to confirm employment eligibility of all newly hired employees based out of the U.S. and employed by Innovaccer Inc.
For any additional information, please visit the below websites:
E-Verify
Right to Work (English)
Right to Work (Spanish)
Disclaimer:
Innovaccer does not charge fees or require payment from individuals or agencies for securing employment with us. We do not guarantee job spots or engage in any financial transactions related to employment. If you encounter any posts or requests asking for payment or personal information, we strongly advise you to report them immediately to our HR department at px@innovaccer.com. Additionally, please exercise caution and verify the authenticity of any requests before disclosing personal and confidential information, including bank account details.