Team Leader - AR (US Healthcare)

Pacific Bpo

3 - 5 years

5 - 8 Lacs

Noida

Posted:1 week ago| Platform:

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Skills Required

AR US Healthcare RCM Accounts Receivable Denial Management

Work Mode

Work from Office

Job Type

Full Time

Job Description

Job Summary :

Key Responsibilities:

Supervise and coordinate day-to-day operations of the AR team handling US healthcare claims.
Monitor and ensure timely follow-up on unpaid claims, working aged AR, and insurance denials.
Conduct root-cause analysis of denials and provide appropriate resolution strategies.
Set daily, weekly, and monthly goals for the team and ensure performance targets are met or exceeded.
Provide training, mentoring, and support to team members for continuous skill development.
Review performance metrics and generate reports for internal stakeholders and leadership.
Escalate payer issues and trends to appropriate departments (e.g., credentialing, coding, contracting).
Collaborate with the billing and coding teams to ensure clean claims and reduce denial rates.
Ensure compliance with HIPAA regulations and internal company policies.
Participate in process improvement initiatives and implement best practices in AR management.

Required Qualifications:

Minimum of 3-5 years of experience in US healthcare AR management, with at least 1 years in a team lead or supervisory role.
Strong understanding of insurance types (Medicare, Medicaid, Commercial, Workers Comp).
Proficient in denial management, claim follow-up, and AR recovery strategies.
Experience with healthcare billing software and EHR/EMR systems (e.g., Epic, Athena, eClinicalWorks).
Excellent organizational, communication, and leadership skills.
Ability to analyze data, identify trends, and implement corrective actions.

Interested candidate please call on 9990926385 or share your resume at ruhi.mathur@pacificbpo.com

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