About the role
- Supervise the daily operations of a team of AR Analysts, ensuring timely claim follow-ups, denial management, and appeal filings.
- Monitor productivity and quality metrics to hit targets for Cash Collections, Denial Rates, and Days in AR
- Strong analytical capabilities, excellent English communication (for client interaction/calling), and proven team management experience
- At least 5+ years of experience in physician and hospital billing
- Analyze and address complex denials, rejections, and underpayments while serving as a process expert in AR workflows, payer guidelines, and billing systems.
- Conduct root cause analysis for recurring issues and propose corrective actions to ensure compliance with turnaround time, productivity, and quality standards.
- Assist the team with escalated issues and client inquiries, providing feedback and coaching to enhance team performance.
- Support the training of new employees and promote ongoing knowledge sharing within the team.
- Collaborate with internal departments, such QA, Training team to resolve issues and prepare daily and weekly performance reports.
Requirements
- 3–7 years of experience in Medical Billing AR, with at least 1–2 years in a leadership or supervisory role.
- Strong knowledge of the US healthcare system, insurance payers, EOBs, ERA, and denial management.
- Experience with Medicare, Medicaid, and commercial insurance follow-up and proficiency in medical billing software and practice management systems.
- Advanced knowledge of AR aging, collections, and revenue cycle management (RCM).
- Strong analytical, communication, and problem-solving skills, Ability to manage team performance and meet client KPIs..
- Experienced in managing high-value and aged accounts receivable with strong analytical and problem-solving abilities.
- Effective communicator with the capability to mentor and support team members.
- Strategize and assign outstanding claims to team members for optimal follow-up and collections.
- Conduct root cause analysis (RCA) on unresolved or denied claims to formulate corrective strategies.
- Manageclient communications, handle escalated claim issues, and present weekly/monthly business reviews and mentor associates, track productivity (SLA compliance), and manage team attrition and shrinkage
Interested candidates can send their updated resumes to: twinkleamaldia@shai.health