7 years

0 Lacs

Posted:1 day ago| Platform: SimplyHired logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Job Description:
Key Responsibilities:
  • Supervise daily AR operations for assigned clients/projects.
  • Monitor AR aging buckets and ensure timely follow-up on outstanding claims.
  • Drive resolution of denials (Authorization, Eligibility, Credentialing, Coding, etc.).
  • Ensure compliance with TAT, productivity, and quality SLAs.
Provide coaching, mentoring, and performance feedback to AR team members.
  • Coordinate with internal teams (Billing, Coding, Credentialing) to resolve issues.
  • Generate AR reports, highlight trends, and suggest process improvements.
  • Handle escalations and act as the first point of contact for clients.
  • Track KPIs such as AR days, aging %, denial rate, and collection efficiency.

Qualifications & Skills:
  • Bachelor’s degree in any field.
  • 5–7 years of experience in AR (Healthcare RCM), with at least 2–3 years in a supervisory/leadership role.
  • Strong understanding of US healthcare revenue cycle (payer policies, denials, AR follow-up).
  • Proficiency in MS Excel, AR dashboards, and reporting.
  • Excellent communication, leadership, and problem-solving skills.
  • Ability to manage multiple priorities and meet deadlines.
Key Performance Indicators (KPIs):
  • AR aging reduction (focus on 31–180 days and 180+ buckets).
  • Denial resolution turnaround time.
  • % of claims resolved within TAT.
  • Team productivity and quality compliance.
  • Client satisfaction scores.
Preferred Experience:
  • Experience working with EHR/EMR and AR management tools.
  • Prior exposure to client communication and project transition.
  • Experience in handling insurance-specific AR (Medicare, Medicaid, Commercial, MCOs).
Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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