08 Aug
|
Guidehouse
|
Hyderabad
08 Aug
Guidehouse
Hyderabad
Team Lead AR Calling & Denial Management (RCM)
Experience: 5+ Years in RCM
Mandatory: Minimum 1 Year of Team Handling Experience, on Papers (preferred)
Key Responsibilities
Manage and lead a team of 1520 FTEs in AR Calling and Denial Management.
Drive productivity, quality, SLA, and KPI metrics while ensuring operational excellence.
Monitor workflow, inventory, and allocation strategies to maintain operational stability.
Conduct coaching, mentoring, training, and performance reviews to enhance team performance.
Perform RCA/CAPA, quality audits, and process improvement initiatives.
Support denial resolution, AR optimization, account reviews, escalations, and stakeholder communication.
Analyze denial trends and implement corrective actions to improve efficiency and accuracy.
Ensure compliance with operational policies, procedures, and quality standards.
Lead internal and external communications and support project launches and transitions.
Drive employee engagement, retention, and absenteeism management.
Solid knowledge of Medicare, Medicaid, ICD & CPT Codes used in Denial Management.
Required Qualifications
Bachelor's Degree (Mandatory)
5+ Years of RCM Experience
1+ Year of Team Handling Experience (Mandatory)
Solid expertise in AR Follow-up & Denial Management (NOA skills preferred)
Excellent communication, analytical, and problem-solving skills
Preferred Skills
Experience mentoring and training junior staff
Robust attention to detail and process improvement mindset
Ability to prioritize, manage teams, and exceed operational targets
Employees working in night shifts will be eligible for an additional allowance of approximately 60,000 per annum, over and above the offered CTC.
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