Role & responsibilities

1. Operations Management

- Oversee day-to-day claims follow-up, denials resolution, and payment recovery activities.
- Monitor work queues, TAT compliance, and resolution rates to ensure SLA adherence.
- Allocate accounts, track workloads, and ensure even distribution of tasks among team members.
- Review claim notes and ensure complete, professional, and audit-ready documentation.

2. Performance & Quality Oversight

- Use the Performance Scorecard to track and report on team metrics:
- Productivity
- TAT compliance
- Resolution rate
- Quality and accuracy
- Idle/no-touch rate

- Conduct daily huddles and weekly performance reviews to improve output.
- Identify underperformers early and implement targeted coaching or retraining plans.
- Partner with QA team to ensure >98% quality compliance.

3. Client & Payer Communication

- Support escalations with U.S. payer representatives and client-side account managers.
- Review aging reports and collaborate with the clients billing and payment teams for faster recovery.
- Provide insights on payer trends, denials patterns, and cash flow improvement opportunities.

4. Team Leadership & Development

- Mentor, train, and guide AR executives on communication skills, denial handling, and compliance.
- Drive accountability and ownership through transparent goal-setting and incentive linkage.
- Support recruitment, onboarding,



and continuous learning initiatives for new hires.
- Foster a positive work workplace that encourages collaboration and recognition.

5. Reporting & Process Improvement

- Prepare daily, weekly, and monthly AR dashboards covering key metrics and variances.
- Work with Operations Head to design process improvement and automation initiatives.
- Participate in client calls, RCA discussions, and CAPA action planning.

Preferred candidate profile

For Team Lead:

- 6+ years of experience in U.S. Healthcare AR / VOB including at-least 2 years in a lead role.
- Strong knowledge of payer follow-up, denials management, and claim life cycle.
- Proven ability to analyse data and coach teams using metrics like TAT, productivity, accuracy, and recovery.
- Proficiency in Excel, Google Sheets, and workflow management tools.
- Excellent communication and analytical skills; client-interfacing experience preferred.

For QA :

- 5+ years of overall experience , with at-least 1 year in QA role auditing AR / VOB

- Strong knowledge of payer follow-up, denials management, and claim life cycle.
- Proven ability to analyse data and coach teams using metrics like TAT, productivity, accuracy, and recovery.
- Proficiency in Excel, Google Sheets, and workflow management tools.
- Excellent communication and analytical skills; client-interfacing experience preferred.

📌 RCM Team Lead/ RCM QA (Hyderabad)
🏢 Geopro Services
📍 Hyderabad