Assistant Manager: AR, RCM- US Healthcare

2 weeks ago

Noida, Uttar Pradesh, India Qualicentric Ites Full time

Job Summary:

We are seeking an experienced and highly skilled Accounts Receivable (AR) Assistant Manager to support a healthcare Revenue Cycle Management (RCM) client. Hands-on experience with Advanced MD Software and Lab Billing will be a significant advantage. The ideal candidate will have a deep understanding of healthcare medical billing and collections, expertise in process automation, and strong leadership capabilities to oversee AR functions, mentor junior staff, and ensure effective, compliant receivables management. This role is crucial for ensuring accurate billing, timely claims processing, efficient collections, and strengthened client relationships to maximize cash flow.

Key Responsibilities:

  • Revenue Cycle Management: Oversee all aspects of the revenue cycle, including patient registration, eligibility verification, claim submission, payment posting, denials management, AR follow-up, and patient billing.
  • Team Leadership: Supervise, train, mentor, and evaluate RCM team members; allocate work and resolve issues to drive performance.
  • Process Improvement: Develop, implement, and refine operational policies and procedures to enhance efficiency and service quality.
  • Data Analysis: Analyze billing and claims data to identify trends, improve performance, and reduce denials.
  • Regulatory Compliance: Ensure strict adherence to HIPAA regulations and other healthcare billing standards.
  • Reporting & Communication: Prepare periodic performance reports, lead client meetings, and collaborate with internal departments to ensure process alignment.
  • Issue Resolution: Take ownership of discrepancies in billing, claims, payment posting, or denials to ensure prompt and compliant resolution.
  • Financial Impact: Support the organizations financial goals by maximizing revenue capture and minimizing operational costs.
  • Training & Development: Provide training and ongoing support for Advanced MD software usage, fostering professional development in billing processes.
  • Process Optimization: Continuously seek and implement improvements to billing and collections processes to enhance speed, accuracy, and efficiency.
  • Stakeholder Engagement: Act as the primary contact for billing-related queries from patients, insurance companies, and internal teams, ensuring swift and professional resolutions.

Requirements:

  • Minimum of 8 years of experience in healthcare billing and collections, including at least 5 years in a managerial role overseeing teams of 40-50 FTEs.
  • Proven track record in team management and development, with a focus on high performance and quality standards.
  • Hands-on expertise with Advanced MD software for AR operations.
  • Strong knowledge of healthcare billing, insurance claims, reimbursements, and regulatory compliance standards.
  • Excellent analytical and problem-solving skills, with a sharp eye for detail and accuracy.
  • Ability to work independently and collaboratively in a dynamic, fast-paced environment.
  • Outstanding verbal and written communication skills to interact effectively with all stakeholders.
  • Certifications in Data Science or Artificial Intelligence are considered a strong plus.

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