Accounts Receivable (Third Party RCM)

The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders inspired by the opportunity to unite modern wearable technologies with proven device therapies. Kestra’s solutions combine high quality and technical performance with a wearable design that provides the greatest regard for patient comfort and dignity. Innovating versatile new ways to deliver care, Kestra is helping patients and their care teams harmoniously monitor, manage, and protect life. The Accounts Receivable (AR) Payor Analyst plays a critical role in the healthcare revenue cycle by serving as a liaison between the organization and third-party payors. This position is responsible for proactively managing outstanding receivables, resolving payor-related issues, and ensuring timely and accurate reimbursement for healthcare services. This role will serve as the Subject Matter Expert (SME) in Third-Party Accounts Receivable (AR) Collections and is responsible for optimizing the collection of outstanding balances from third-party payors. This role provides expert-level guidance, analysis, and support to AR teams, ensuring compliance with payor requirements and maximizing reimbursement. The SME serves as a key resource for resolving complex payor issues, improving workflows, and training staff on best practices. ESSENTIAL DUTIES Monitor and manage assigned payor accounts to ensure timely follow-up and resolution of outstanding claims. Analyze payor trends and denial patterns to identify root causes and recommend process improvements. Communicate effectively with insurance companies to resolve claim issues, including denials, underpayments, and rejections. Coordinate capably with outsourcing partners to streamline processes, enhance efficiency, maintain compliance, ensure quality control, cost-effectiveness, and timely delivery of services. Monitor payor responses and response timelines for adherence to contractual parameters. Collaborate with internal departments such as coding, billing, and patient access to ensure claims are submitted accurately and compliantly. Escalate unresolved payor issues to leadership with appropriate documentation and recommendations. Maintain detailed documentation of all payor interactions and claim resolution activities in the AR system. Maintain current knowledge of payor policies, contract terms, and regulatory changes affecting reimbursement. Participate in payor meetings and contribute to contract negotiations by providing data-driven insights. Meet or exceed performance metrics related to AR aging, denial resolution, and cash collections. Serve as the primary expert on third-party payor collection processes, policies, and regulatory requirements. Develop and implement strategies to reduce AR aging and improve collection rates from commercial, government, and managed care payors. Lead initiatives to streamline workflows, enhance system functionality, and improve staff productivity. Provide training, coaching, and mentorship to AR staff on payor-specific collection techniques and denial resolution. Act as a liaison with payor representatives to resolve escalated issues and advocate for timely reimbursement. Adhere to Pledge of Confidentiality Information regarding a patient of this company shall not be released to any source outside of this company without the signed permission of the patient. Furthermore, information will only be released internally on a need-to-know basis. All Team Members will not discuss patient cases outside the office or with anyone not employed by this company unless they are directly involved with the patient’s case. COMPETENCIES Passion: Contagious excitement about the company – sense of urgency. Commitment to continuous improvement. Integrity: Commitment, accountability, and dedication to the highest ethical standards. Collaboration/Teamwork: Inclusion of Team Member regardless of geography, position, and product or service. Action/Results: High energy, decisive planning, timely execution. Innovation: Generation of new ideas from original thinking. Customer Focus: Exceed customer expectations, quality of products, services, and experience always present of mind. Emotional Intelligence: Recognizes, understands, manages one’s own emotions and is able to influence others. Demonstrates the understanding of timelines and deliverables, ability to accomplish goals, and the desire to execute and win. Proven ability to lead cross-functional initiatives and drive measurable improvements in AR performance. Strong analytical skills with proficiency in data analysis tools and reporting systems. Ability to work independently and manage multiple priorities in a fast-paced environment. Ability to liaise with contracted service vendors, fostering productive partnerships, facilitating clear communication, issue resolution, and continuous performance improvement. QUALIFICATIONS

Education/Experience Required:

• Bachelor’s degree in healthcare administration, business, finance, or related field required; advanced degree or certification (e.g., CRCR, CHFP) preferred.
• Minimum of 5 years of experience in healthcare revenue cycle management, with a focus on third-party AR collections.
• Strong background in financial management.
• Demonstrated ability to lead projects.
• Knowledge of third-party Payor requirements, as well as government (Medicare and Medicaid) program regulations.
• A strong understanding of payor policies, denial management, and healthcare billing practices.
• Experience with electronic health records (EHR) and AR systems (e.g., Epic, Cerner, Meditech).
• Excellent communication, negotiation, and problem-solving skills.
• Proficiency in Microsoft Office Suite, especially Excel.

Preferred:

7+ years of experience in healthcare revenue cycle management, with a focus on third-party AR collections.

• Experience in DME and recurring rentals.

SUPERVISORY RESPONSIBILITIES:

None WORK ENVIRONMENT

• Fast-paced, remote home office.
• Extended hours when required.

Kestra manufactures and provides life-saving products regulated by the Federal Food and Drug Administration and under contract with Medicare. Kestra maintains a drug free workplace and testing is a condition of employment post-offer. PHYSICAL DEMANDS

• Frequent repetitive motions that may include wrists, hands and/or fingers, such as keyboard and mouse usage.
• Frequent stationary position, often standing or sitting for prolonged periods of time.
• Frequent computer use.
• Frequent phone and other business machine use.

Occasional lifting required, up to 20 pounds. TRAVEL Occasional travel, domestic and international, may be required, up to 25%.

OTHER DUTIES:

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the Team Member. Duties, responsibilities, and activities may change or new ones may be assigned at any time with or without notice.

• Kestra offers a very competitive benefit package including Medical, Dental, 401K with Match, etc.

Pay equity is an important part of Kestra’s Culture. Our compensation ranges are guided by national and local salary surveys and take into consideration experience level and internal equity. Each role is benchmarked based on the job description provided If your qualifications and/or experience level are outside of the posted position, we encourage you to apply as we are growing fast and roles that are coming soon may not be posted.

• Salary: Annualized at $120,000 - $145,000, plus bonus. Depending on experience.

Kestra Medical Technologies is an equal opportunity employer. Kestra Medical Technologies does not discriminate on the basis of race, color, religion, national origin, veteran status, age, sexual orientation, gender identity and/or expression, marital status, disability, physical or mental status or any other characteristic protected by law.

• We are unable to sponsor or take over sponsorship of employment visas at this time. Applicants must be eligible to work for any employer in the U.S.

Kestra manufactures and provides life-saving products regulated by the Federal Food and Drug Administration and under contract with Medicare. Kestra maintains a drug free workplace and testing is a condition of employment.