Team Lead, AR, PRO -IJP

Description:

Responsibilities

Team & Daily Operations Management

• Lead and supervise a team of AR executives/analysts, ensuring daily productivity, accuracy, and adherence to SLAs.
• Allocate and monitor daily work queues, prioritize aging accounts, and ensure timely follow-ups with payers.
• Conduct daily huddles, provide real-time guidance, and support team members in resolving complex AR cases.
• Track individual performance and provide ongoing coaching and feedback to improve outcomes.

AR Follow-up, Aging & Reporting

• Monitor AR aging buckets and drive focused actions to reduce overdue and high-dollar balances.
• Review follow-up notes, payerresponses, and next-action plans to ensure effective collections.
• Prepare and maintain daily and weekly AR productivity, aging, and denial trackers.
• Escalate unresolved or high-risk accounts to the Manager with clear RCA and recommendations.

Quality, Accuracy & Compliance

• Perform regular quality checks on team output to ensure accuracy in follow-ups, posting, and documentation.
• Ensure adherence to SOPs, HIPAA guidelines, and client-specific billing and follow-up requirements.
• Support audits by maintaining accurate documentation and ensuring timely data availability.

Stakeholder Coordination & Escalation Handling

• Act as the first-level escalation point for AR issues, payer challenges, and internal queries.
• Collaborate closely with QA, billing, and denial management teams to resolve discrepancies.
• Provide structured updates to Managers on AR performance, risks, and improvement areas.

Process Adherence & Continuous Improvement

• Identify recurring issues, payer trends, and process gaps; suggest improvements to the Manager.
• Support implementation of updated SOPs, workflows, and best practices.
• Assist in training new joiners and upskilling team members on AR processes and payer rules.

Requirements:

• 5–7 years of experience in U.S. healthcare AR,
• Strong hands-on experience in payer follow-ups, denial resolution, and AR aging management.
• Exposure to multiple payer types and billing platforms/EMRs.
• Working knowledge of MS Excel (filters, VLOOKUP, Pivot Tables) and AR trackers/dashboards.