Key Responsibilities

1.

Accounts

Receivable &

- Denial Management

- Lead end-to-end Accounts Resolution operations, including AR follow-up, denial management, underpayment analysis, and payment recovery.
- Drive timely resolution of outstanding claims and reduce aged AR, including high-value and complex accounts.
- Identify recurring denial trends, root causes, and process gaps; implement corrective and preventive actions.
- Ensure appropriate prioritization of accounts based on ageing, claim value, payer requirements, and timely filing limits.
- Improve first-pass resolution, collection performance, and overall revenue realization.

2.

Operational

Excellence &

- Performance Management

- Define and monitor KPIs, including productivity, quality, collections, denial rates, AR ageing, and SLA adherence.
- Develop and execute action plans to achieve operational targets and contractual commitments.
- Drive continuous improvement initiatives, automation, and process standardization.
- Review operational dashboards and provide periodic performance updates to leadership and clients.
- Ensure adherence to client-specific requirements, internal policies, and compliance standards.

3. Leadership &

- People Management

- Lead and develop a large team of managers, team leaders, and AR specialists.
- Establish clear performance expectations and conduct regular business reviews.
- Identify training needs and build capabilities in payer follow-up, denial resolution, and analytical problem-solving.
- Drive employee engagement, talent development, succession planning, and retention.
- Build a culture of accountability, collaboration, and continuous improvement.

4. Client &

- Stakeholder Management

- Manage client relationships and participate in operational reviews, governance meetings, and escalation discussions.
- Present performance trends,



recovery opportunities, risks, and improvement plans to clients and senior leadership.
- Partner with coding, billing, cash posting, and other RCM teams to resolve upstream and downstream issues.
- Ensure timely resolution of client escalations and maintain high client satisfaction.

5. Analytics, Reporting &

- Process Improvement

- Analyze AR ageing, payer-wise performance, denial patterns, collection trends, and revenue leakage.
- Use data-driven insights to identify opportunities for improved recovery and operational efficiency.
- Implement structured action plans for aged accounts, high-dollar claims, and underperforming payer segments.
- Support technology adoption, workflow automation, and reporting enhancements.

6. Compliance &

- Risk Management

- Ensure compliance with applicable US healthcare regulations, payer guidelines, HIPAA requirements, and client policies.
- Maintain process documentation, audit readiness, and appropriate controls for operational activities.
- Identify operational risks and implement mitigation plans to minimize revenue loss and compliance exposure.

Required Qualifications
- Bachelor's degree in Business Administration, Commerce, Healthcare Management, or a related discipline.
- Relevant experience in US Healthcare RCM, specifically Accounts Receivable and Accounts Resolution.
- Demonstrated experience managing large-scale AR operations and multiple teams.
- Robust knowledge of US healthcare payer processes, claim adjudication, denials, appeals, and reimbursement workflows.

Preferred Experience
- Experience handling complex AR portfolios, high-value claims, and multiple payer segments.
- Exposure to client-facing operations, transition management, process transformation, and automation initiatives.
- Experience managing operational budgets, workforce planning, and productivity improvement programs.

📌 Senior Manager - Accounts Resolution (India)
🏢 LogixHealth
📍 India