Subject Matter Expert- AR (US Healthcare, RCM)

Job Summary: We are seeking a skilled and experienced Accounts Receivable (AR) Subject Matter Expert (SME) with expertise in Advanced MD software to support a healthcare client with RCM (Revenue Cycle Management) services. The ideal candidate will have a deep understanding of healthcare billing and collections, combined with strong leadership abilities to oversee AR processes, mentor junior staff, and ensure effective and compliant accounts receivable management.

Responsibilities:

• Accounts Receivable Management: Lead the management of AR processes for healthcare services using Advanced MD software.
• Team Leadership and Mentorship: Supervise a team of AR professionals, providing guidance, training, and support to maximize team performance and efficiency.
• Billing and Payment Posting: Execute accurate charge and payment posting, ensuring timely and compliant billing submissions to insurance companies and patients.
• Claims Follow-up: Actively manage outstanding claims, denials, and payments to enhance collections and minimize overdue accounts.
• Reconciliation and Reporting: Review payments, reconcile them with outstanding accounts, and generate detailed reports from Advanced MD to monitor billing trends and performance metrics.
• Collaborative Issue Resolution: Partner with the billing team to address discrepancies in billing, claims, or payments, ensuring alignment with healthcare regulations and industry best practices.
• Training and Support: Provide Advanced MD training and guidance to junior team members, fostering their professional growth in billing processes.
• Process Optimization: Identify and implement improvements to streamline billing and collection for enhanced efficiency and accuracy.
• Stakeholder Communication: Serve as the primary contact for billing inquiries from patients, insurance companies, and internal teams, ensuring prompt and professional issue resolution.

Requirements:

• 3-5 years of experience in healthcare billing and collections, with comprehensive knowledge of the revenue cycle.
• Demonstrated experience in managing and developing teams, with a strong focus on team performance and high standards of work.
• Proficient hands-on experience with Advanced MD software for AR management.
• In-depth understanding of medical billing processes, insurance claims, reimbursements, and regulatory compliance.
• Strong analytical and problem-solving skills to identify and address discrepancies.
• Ability to work independently, take initiative, and collaborate effectively in a fast-paced, team-oriented environment.
• Attention to detail and a commitment to accuracy in all aspects of the role.
• Excellent communication skills, both verbal and written, to engage effectively with internal teams, patients, and external stakeholders.

Job Type: Full-time

Pay: ₹400,000.00 - ₹650,000.00 per year

Ability to commute/relocate:

• Noida, Uttar Pradesh: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• Current CTC
• Expected CTC
• Availability to join

Experience:

• Accounts receivable: 3 years (Required)

Location:

• Noida, Uttar Pradesh (Required)

Shift availability:

• Night Shift (Required)

Work Location: In person