Job Type
Full-time
Description
Responsibilities
Team & Daily Operations Management
- Lead and supervise a team of AR executives/analysts, ensuring daily productivity, accuracy, and adherence to SLAs.
- Allocate and monitor daily work queues, prioritize aging accounts, and ensure timely follow-ups with payers.
- Conduct daily huddles, provide real-time guidance, and support team members in resolving complex AR cases.
- Track individual performance and provide ongoing coaching and feedback to improve outcomes.
AR Follow-up, Aging & Reporting
- Monitor AR aging buckets and drive focused actions to reduce overdue and high-dollar balances.
- Review follow-up notes, payerresponses, and next-action plans to ensure effective collections.
- Prepare and maintain daily and weekly AR productivity, aging, and denial trackers.
- Escalate unresolved or high-risk accounts to the Manager with clear RCA and recommendations.
Quality, Accuracy & Compliance
- Perform regular quality checks on team output to ensure accuracy in follow-ups, posting, and documentation.
- Ensure adherence to SOPs, HIPAA guidelines, and client-specific billing and follow-up requirements.
- Support audits by maintaining accurate documentation and ensuring timely data availability.
Stakeholder Coordination & Escalation Handling
- Act as the first-level escalation point for AR issues, payer challenges, and internal queries.
- Collaborate closely with QA, billing, and denial management teams to resolve discrepancies.
- Provide structured updates to Managers on AR performance, risks, and improvement areas.
Process Adherence & Continuous Improvement
- Identify recurring issues, payer trends, and process gaps; suggest improvements to the Manager.
- Support implementation of updated SOPs, workflows, and best practices.
- Assist in training new joiners and upskilling team members on AR processes and payer rules.
Requirements
- 5–7 years of experience in U.S. healthcare AR,
- Strong hands-on experience in payer follow-ups, denial resolution, and AR aging management.
- Exposure to multiple payer types and billing platforms/EMRs.
- Working knowledge of MS Excel (filters, VLOOKUP, Pivot Tables) and AR trackers/dashboards.