Job Summary

The Manager is responsible for overseeing end-to-end hospital billing and accounts receivable operations related to UB04 claims. The role includes managing denial resolution, claims follow-up, team performance, client communication, compliance, and revenue cycle optimization.

Key Responsibilities
Manage hospital billing operations for UB04 claims.
Lead AR follow-up and denial management teams.
Monitor aging reports, denial trends, and productivity metrics.
Ensure timely submission and resolution of claims.
Handle escalations related to Medicare, Medicaid, HMO, PPO, and commercial payers.
Analyze EOBs, denials, underpayments, and reimbursement issues.
Maintain SLA, quality, and productivity targets.
Conduct team training, coaching, and performance reviews.
Coordinate with clients and internal stakeholders for process improvements.




Ensure compliance with HIPAA and payer guidelines.
Prepare MIS reports and operational dashboards.

Required Skills
Robust knowledge of:
UB04 claim forms
Revenue Cycle Management (RCM)
Denial Management
Insurance Follow-up
Medicare/Medicaid guidelines
ICD-10, CPT, HCPCS basics
Leadership and people management skills.
Positive analytical and communication abilities.
Expertise in hospital billing workflows and payer policies.
Experience with EPIC/Cerner/Meditech preferred.

Eligibility
Graduate/Postgraduate.
Typically 6–10+ years in US Healthcare RCM.
2–4 years in Assistant Manager/Manager role.
Experience in Hospital Billing (UB04 mandatory).

📌 Manager Armumbai Mumbai
🏢 Eclat Health Solutions
📍 Mumbai