06 Aug
|
Medconverge Healthcare Services
|
Hyderabad
06 Aug
Medconverge Healthcare Services
Hyderabad
Job Title: Team Lead Accounts Receivable (AR) | US Healthcare RCM
Location: India | Hyderabad
Department: Revenue Cycle Management (RCM)
Employment Type: Full-Time
Shift: US Shift (Night Shift)
Job Summary
We are looking for an experienced and results-driven Team Lead Accounts Receivable (AR) to lead a team responsible for AR follow-up, denial management, and collections for US Healthcare providers. The ideal candidate should have strong leadership skills, excellent payer knowledge, and a solid understanding of AR performance metrics to drive operational excellence and client satisfaction.
Key Responsibilities
- - Lead and manage a team of AR Analysts/Callers handling physician and hospital accounts.
- Monitor daily productivity, quality, and turnaround time to ensure SLA adherence.
- Review aging reports and prioritize high-value and aged accounts for follow-up.
- Handle complex denial scenarios and provide guidance on appeals and claim resolution.
- Conduct regular team huddles, one-on-one coaching sessions, and performance reviews.
- Analyze team performance metrics and implement action plans for continuous improvement.
- Coordinate with Billing, Coding, Eligibility, and Client Management teams to resolve claim issues.
- Prepare and present daily, weekly, and monthly operational reports.
- Ensure accurate documentation of account activity in the billing system.
- Drive process improvements and identify opportunities to improve collections and reduce AR aging.
- Support client meetings by providing operational updates, RCA, and action plans.
- Train and mentor new team members and ensure adherence to SOPs and compliance requirements.
Required Qualifications
- - Bachelors degree in any discipline.
- 6 8+ years of experience in US Healthcare Revenue Cycle Management.
- Minimum 1 2 years of experience as a Team Lead or in a people management role.
- Solid experience in AR Follow-up, Denial Management, Appeals, and Insurance Collections.
- Excellent knowledge of Medicare, Medicaid, and Commercial insurance payers.
- Experience working with physician billing and multi-specialty practices is preferred.
- Strong analytical, communication, and problem-solving skills.
- Proficiency in Microsoft Excel, including Pivot Tables, XLOOKUP/VLOOKUP, and reporting.
- Ability to manage multiple priorities in a fast-paced environment.
Required AR Metrics Understanding
The candidate should have a strong understanding of operational and financial AR metrics, including:
- - Days in Accounts Receivable (Days in AR)
- Aging Bucket Analysis (0 30, 31 60, 61 90, 91 120, 120+)
- Collection Rate and Recovery Rate
- Gross Collection Rate (GCR)
- Net Collection Rate (NCR)
- First Pass Resolution Rate (FPRR)
- Denial Rate and Denial Trends
- Appeal Success Rate
- Inventory Management and Workable AR
- High-Dollar Claim Prioritization
- Touch Rate and Follow-up Productivity
- Team Productivity and Quality Metrics
- SLA Compliance and TAT Monitoring
- Root Cause Analysis (RCA) and Corrective Action Planning
- Weekly and Monthly KPI Dashboard Reporting
Preferred Skills
- - Strong leadership and people management skills.
- Client communication and stakeholder management.
- Data analysis and decision-making using AR metrics.
- Process improvement and operational excellence.
- MIS reporting and dashboard preparation.
- Escalation management and conflict resolution.
- Excellent verbal and written communication skills.
Key Performance Indicators (KPIs)
- - Team productivity and utilization.
- Collections and recovery performance.
- Denial resolution and appeal success rate.
- AR aging reduction.
- Quality and documentation accuracy.
- SLA adherence.
- Client satisfaction.
- Team engagement and attrition management.
Required Skills
Performance Management Denial Management Team Management Training and Development Workforce Planning
Disclaimer : This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.
📌 Team Lead (Hyderabad)
🏢 Medconverge Healthcare Services
📍 Hyderabad