Job Summary

We are seeking an experienced Team Lead - AR Calling & Denials to manage and drive performance for our Hospital Billing (UB04) process. The ideal candidate should possess strong expertise in Accounts Receivable follow-up, Denial Management, Appeals, and Team Leadership. The role requires a proven ability to achieve operational targets, improve collections, reduce denials, and lead a high-performing team within the US Healthcare Revenue Cycle Management environment.

Key Responsibilities

- Lead and manage a team of AR Callers and Denial Specialists.
- Monitor team productivity, quality, and adherence to client SLAs.
- Drive resolution of unpaid, underpaid, and denied claims.
- Handle escalations and complex claim scenarios.
- Analyze denial trends and implement corrective and preventive actions.
- Review aging reports and ensure timely follow-up on outstanding accounts.
- Manage appeals, reconsiderations, and claim resubmissions.
- Conduct regular team huddles, performance reviews, and coaching sessions.
- Ensure compliance with payer guidelines and client requirements.
- Collaborate with Billing, Coding, Payment Posting, and Operations teams to improve overall process performance.




- Prepare and present daily, weekly, and monthly operational reports.
- Drive process improvement initiatives to enhance collections and reduce AR days.

Required Skills

- Strong experience in AR Calling and Denials Management.
- Hands-on experience in UB04 Hospital Billing.
- Expertise in Appeals, Underpayment Analysis, and Claim Resolution.
- Good understanding of Medicare, Medicaid, and Commercial Payers.
- Knowledge of CPT, ICD-10, HCPCS, and Revenue Codes.
- Experience handling high-value hospital accounts and complex denials.
- Strong analytical, communication, and stakeholder management skills.
- Proficiency in RCM reporting and performance management.

Preferred Qualifications

- Minimum 5 years of experience in US Healthcare RCM.
- At least 1-2 years of Team Lead experience on papers.
- Experience managing team productivity, quality, and client metrics.
- Ability to work in a quick-paced US healthcare environment.
- Immediate joiners will be given preference.

Interested candidates can share their updated resume.

[email protected]

📌 Team Lead-RCM (Hyderabad)
🏢 Sagility India
📍 Hyderabad