Team Lead AR Denial Management US Healthcare

Key Responsibilities

• Lead, manage, and coach a team of AR/Denial specialists handling US healthcare medical billing and accounts receivable follow-up.
  
• Monitor and drive AR performance metrics such as Days in AR, denial rates, clean claim rate, resubmission rate, and success ratios.
  
• Analyze root causes of claim denials and under-payments, establish corrective actions, and implement process improvements.
  
• Ensure timely submission and follow-up on unpaid/under-paid claims and proper posting of payments/adjustments.
  
• Work closely with billing, coding, payment posting, and client service teams to resolve complex claim issues.
  
• Produce regular reports for senior management AR aging, denial trend analysis, appeal pipeline, and team productivity.
  
• Ensure adherence to client SLAs, HIPAA, and other regulatory/data security requirements.
  
• Manage shift rosters, attendance, shrinkage, attrition, and ensure consistent team productivity.
  
• Conduct training, development, and performance reviews for team members.
  
• Drive process improvement initiatives workflow optimization, automation, and best-practice adoption.
  

Required Skills & Qualifications

• Bachelors degree in any discipline (preferred).
  
• 5-8 years of experience in

  US Healthcare Revenue Cycle Management

  (Medical Billing / AR / Denial Management), with at least 1 years in a

  leadership role

  .
• Strong knowledge of US healthcare payers (Medicare, Medicaid, Commercial), claim submission, EOB/ERA analysis, denials, and appeals.
  
• Excellent analytical and reporting skills ability to interpret AR data, track KPIs, and deploy corrective actions.
  
• Strong communication skills (verbal & written) in English role may involve interaction with US stakeholders.
  
• Hands-on experience with billing/RCM software, dashboards, and MS Excel (pivot tables, analysis).
  
• Team management and mentoring capabilities.
  
• Willingness to work in

  Night (US hours)

  .

Desirable / Plus Points

• Experience with hospital IP/OP billing, DME/HME billing, or physician practice billing.
  
• Certification in medical billing/coding (e.g., CPC, CCS) or RCM training.
  
• Experience in a global delivery center servicing US healthcare clients.
  
• Exposure to process improvement methodologies (Lean, Six Sigma) and quality audits.
  

What the Role Offers

• Opportunity to lead a critical AR/Denial function in a US healthcare RCM setup.
  
• Scope for growth into higher operational leadership roles.
  
• Exposure to global healthcare billing practices and multiple specialties.
  
• 5-day working week (MondayFriday) with US shift timings.
  
• Drop/transport facility
  

For more details, contact: