Assistant Manager- AR (RCM- US Healthcare)

Job Summary:

Key Responsibilities:

• Revenue Cycle Management:

  Oversee all aspects of the revenue cycle, including patient registration, eligibility verification, claim submission, payment posting, denials management, AR follow-up, and patient billing.

• Team Leadership:

  Supervise, train, mentor, and evaluate RCM team members; allocate work and resolve issues to drive performance.

• Process Improvement:

  Develop, implement, and refine operational policies and procedures to enhance efficiency and service quality.

• Data Analysis:

  Analyze billing and claims data to identify trends, improve performance, and reduce denials.

• Regulatory Compliance:

  Ensure strict adherence to HIPAA regulations and other healthcare billing standards.

• Reporting & Communication:

  Prepare periodic performance reports, lead client meetings, and collaborate with internal departments to ensure process alignment.

• Issue Resolution:

  Take ownership of discrepancies in billing, claims, payment posting, or denials to ensure prompt and compliant resolution.

• Financial Impact:

  Support the organizations financial goals by maximizing revenue capture and minimizing operational costs.

• Training & Development:

  Provide training and ongoing support for Advanced MD software usage, fostering professional development in billing processes.

• Process Optimization:

  Continuously seek and implement improvements to billing and collections processes to enhance speed, accuracy, and efficiency.

• Stakeholder Engagement:

  Act as the primary contact for billing-related queries from patients, insurance companies, and internal teams, ensuring swift and professional resolutions.

Requirements:

• Minimum of

  7 years

  of experience in healthcare billing and collections, including at least

  4 years

  in a managerial role overseeing teams of

  40-50 FTEs

  .
• Proven track record in team management and development, with a focus on high performance and quality standards.
• Hands-on expertise with

  Advanced MD software

  for AR operations.
• Strong knowledge of healthcare billing, insurance claims, reimbursements, and regulatory compliance standards.
• Excellent analytical and problem-solving skills, with a sharp eye for detail and accuracy.
• Ability to work independently and collaboratively in a dynamic, fast-paced environment.
• Outstanding verbal and written communication skills to interact effectively with all stakeholders.
• Certifications in

  Data Science

  or

  Artificial Intelligence

  are considered a strong plus.