Team lead operations For AR Calling and Hospital billing @ HYD

5 - 10 years

5 - 7 Lacs

Posted:2 months ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Greetings from Sagility ! We are hiring for team leader operations for AR and Hospital billing . Looking for Immediate joiners from AR Calling and HB, PB background . Overview of the role: We are seeking a highly experienced and results-driven Team Leader AR Collections, Follow-up & Denials to manage a team of 15 to 20 AR specialists responsible for end-to-end accounts receivable follow-up, collections, and denial resolution for hospital (facility) and physician (professional) billing. The candidate must have a minimum of 5–6 years of experience in AR collections and follow-up, with at least 1–2 years in a team leadership role. This position plays a critical role in optimizing cash flow, reducing AR aging, and improving collection efficiency. Key Responsibilities: Lead, mentor, and supervise a team of 15 to 20 AR specialists handling insurance and patient AR follow-up, collections, denial management, and appeals. Oversee resolution of claims across aging buckets: 30/60/90/120+ days. Supervise AR activities for both UB-04 (hospital billing) and CMS-1500 (physician billing) claim types. Monitor and improve performance on key AR metrics: • Gross Collection Rate (GCR), Net Collection Rate (NCR) • Days Sales Outstanding (DSO), Denial Rate • Appeal Success Rate, First Pass Resolution Rate (FPRR) Assign and prioritize worklists based on claim age, payer, and value. Analyze denial patterns and support accurate root cause identification and correction. Ensure timely and compliant filing of appeals and resubmissions. Conduct audits to ensure accuracy, compliance, and adherence to client SLAs. Provide regular training, feedback, and performance coaching to team members. Collaborate with billing, coding, and payment teams to resolve upstream AR issues. Generate performance reports and assist the AM with operational planning and resource allocation. Mandatory Experience and Skills: Bachelor's degree 5–6 years of mandatory experience in Revenue Cycle Management (RCM), specifically in AR follow-up, collections, and denials. At least 1–2 years of experience as an SME or Quality on pepers Deep knowledge of hospital billing (UB-04) or physician billing (CMS-1500). Strong knowledge of denial codes and appeal processes. Hands-on experience with RCM platforms (e.g., Epic, Athena, NextGen) and MS Excel. Strong team management, communication, and performance coaching skills. Ability to interpret data, identify trends, and take corrective actions. Should have good exposure to Attrition and shrinkage Good exposure in inventory management and client coordination Interested candidates can please share your updated resume on : sunkari.srikanth@sagilityhealth.com or what app your cv to : 9949217482

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Sagality India logo
Sagality India

Information Technology

Gurgaon

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