17 Aug
|
HappieHire
|
Bengaluru
17 Aug
HappieHire
Bengaluru
Role: Deputy General Manager (DGM) – US Healthcare Accounts Receivable (AR) Operations
Location: Bangalore
Experience: 15+ years
Work-mode: Full-time, WFO.
Shift timings: US shifts
Skilled Summary:
Experienced US Healthcare Revenue Cycle Management (RCM) leader with 15+ years of expertise in managing large-scale Accounts Receivable (AR) operations for US healthcare providers, hospitals, physician groups, and medical billing organizations. Proven success in leading 250+ member teams across Medical Billing, AR Follow-up, Denials Management, Payment Posting, and Revenue Cycle Operations. Strong background in operational excellence, client management, process transformation, productivity improvement, and revenue realization.
Key Responsibilities:
- Lead end-to-end US Healthcare AR and Revenue Cycle Management (RCM) operations.
- Manage large operational teams of 250+ FTEs including Managers, Team Leads, SMEs, and AR Analysts.
- Drive AR collections performance and maximize reimbursement from insurance payers and patients.
- Monitor and improve key healthcare AR metrics including Aging, Collection Ratio, Denial Rate, First Pass Resolution, and Productivity.
- Handle escalations related to claim denials, underpayments, appeals, and payer disputes.
- Ensure compliance with HIPAA, healthcare regulations, and client-specific quality standards.
- Conduct governance calls, business reviews, and operational reviews with US clients and stakeholders.
- Collaborate with Coding, Billing, Credentialing, Payment Posting, and Provider Relations teams.
- Drive process improvement, automation initiatives, and transition/migration projects.
- Analyze payer trends, denial patterns, and revenue leakage opportunities.
- Manage workforce planning, attrition control, employee engagement, and leadership development.
- Ensure achievement of SLA, TAT, quality, productivity, and financial targets.
Experience:
- 15+ years of experience in US Healthcare AR / RCM Operations.
- Minimum 5+ years
📌 Deputy general manager – us healthcare ar operations (Bengaluru)
🏢 HappieHire
📍 Bengaluru