AR Supervisor – Third Party Payor AR
Position Summary
The AR Supervisor – Payer & New Store Implementation is a key contributor within the SPS Collections team, responsible for supporting payer setup, revenue integrity, and successful onboarding of new stores. Under the direction of a Manager, this role establishes and maintains processes related to electronic remittance advice (ERA/835) and electronic funds transfer (EFT) with third-party payers, ensures timely and accurate completion of new store implementation activities, and supports accounts receivable resolution efforts. This position requires strong attention to detail, effective cross-functional communication, and a working knowledge of healthcare and pharmacy billing processes.
Key Responsibilities
- Establish and maintain ERA (835) and EFT processes with third-party payers
- Coordinate and complete all new store implementation activities, including system access, payer portal setup, and feed file validation
- Communicate store go-live dates and implementation updates to internal teams
- Collaborate with carriers and reconciliation partners to resolve missing or incomplete remittance data
- Perform claim-level accounts receivable and liability reviews using third-party AR systems
- Research, analyze, and resolve payment discrepancies
- Process authorized deductions and follow procedures for disputed or unauthorized deductions
- Convert paper EOBs into electronic format for upload and processing
- Prepare, maintain, and analyze spreadsheets and management reports
- Participate in ongoing education to remain current on medical and pharmacy billing regulations
- Maintain strict confidentiality and ensure full compliance with HIPAA requirements
Required Qualifications
- High School Diploma or GED required
- Minimum of five years of accounts receivable experience in a healthcare environment
- Experience using financial systems, databases, spreadsheets, and word processing tools
- Basic to intermediate proficiency in Microsoft Excel and data entry
- Strong attention to detail and accuracy
Preferred Qualifications
- Pharmacy industry experience
- Billing and reconciliation experience
- Experience with third-party AR systems and payer portals
Skills & Competencies
- Strong written and verbal communication skills
- Ability to manage multiple priorities in a fast-paced environment
- Strong analytical and problem-solving skills
- Ability to work independently with minimal supervision
- Effective time management and organizational skills
