Team Lead AR Denial Management US Healthcare

7 days ago

Kolkata, West Bengal, India Mpowerment Resources Full time

Key Responsibilities

  • Lead, manage, and coach a team of AR/Denial specialists handling US healthcare medical billing and accounts receivable follow-up.
  • Monitor and drive AR performance metrics such as Days in AR, denial rates, clean claim rate, resubmission rate, and success ratios.
  • Analyze root causes of claim denials and under-payments, establish corrective actions, and implement process improvements.
  • Ensure timely submission and follow-up on unpaid/under-paid claims and proper posting of payments/adjustments.
  • Work closely with billing, coding, payment posting, and client service teams to resolve complex claim issues.
  • Produce regular reports for senior management AR aging, denial trend analysis, appeal pipeline, and team productivity.
  • Ensure adherence to client SLAs, HIPAA, and other regulatory/data security requirements.
  • Manage shift rosters, attendance, shrinkage, attrition, and ensure consistent team productivity.
  • Conduct training, development, and performance reviews for team members.
  • Drive process improvement initiatives workflow optimization, automation, and best-practice adoption.

Required Skills & Qualifications

  • Bachelors degree in any discipline (preferred).
  • 5-8 years of experience in US Healthcare Revenue Cycle Management (Medical Billing / AR / Denial Management), with at least 1 years in a leadership role.
  • Strong knowledge of US healthcare payers (Medicare, Medicaid, Commercial), claim submission, EOB/ERA analysis, denials, and appeals.
  • Excellent analytical and reporting skills ability to interpret AR data, track KPIs, and deploy corrective actions.
  • Strong communication skills (verbal & written) in English role may involve interaction with US stakeholders.
  • Hands-on experience with billing/RCM software, dashboards, and MS Excel (pivot tables, analysis).
  • Team management and mentoring capabilities.
  • Willingness to work in Night (US hours).

Desirable / Plus Points

  • Experience with hospital IP/OP billing, DME/HME billing, or physician practice billing.
  • Certification in medical billing/coding (e.g., CPC, CCS) or RCM training.
  • Experience in a global delivery center servicing US healthcare clients.
  • Exposure to process improvement methodologies (Lean, Six Sigma) and quality audits.

What the Role Offers

  • Opportunity to lead a critical AR/Denial function in a US healthcare RCM setup.
  • Scope for growth into higher operational leadership roles.
  • Exposure to global healthcare billing practices and multiple specialties.
  • 5-day working week (MondayFriday) with US shift timings.
  • Drop/transport facility

For more details, contact: Mrinmoy

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