Team Lead - AR Specialist

Female Candidate Needed

Key Responsibilities:

• Revenue Cycle Oversight:

o Manage the entire revenue cycle process including charge entry, coding, billing, payment posting, denial management, and collections.

o Ensure timely and accurate processing of all claims and payments.

• Team Management:

o Supervise, train, and support medical billers, coders, AR specialists, and other RCM staff.

o Set performance targets, monitor productivity, and conduct performance evaluations.

• Billing and Compliance:

o Ensure compliance with healthcare billing regulations, payer-specific requirements, and HIPAA guidelines.

o Monitor billing accuracy and address discrepancies or trends in denials and rejections.

• Denial and AR Management:

o Develop and implement strategies to minimize claim denials and reduce accounts receivable days.

o Review denied claims, oversee appeals process, and ensure maximum reimbursement.

• Reporting and Analytics:

o Generate regular reports on revenue cycle metrics such as collections, aging, denial rates, and cash flow.

o Analyze trends and recommend improvements to enhance efficiency and profitability.

• Payer and Client Coordination:

o Communicate with insurance carriers and third-party payers to resolve complex issues.

o Serve as the primary contact for clients regarding revenue cycle performance, updates, and escalations.

• Process Improvement:

o Identify workflow inefficiencies and implement best practices to improve RCM operations.

o Leverage technology and automation tools to optimize billing processes.

• Policy Development:

o Develop and update RCM policies, procedures, and training materials.

o Ensure standard operating procedures are followed by all team members.

• Audit and Quality Control:

o Conduct internal audits to ensure data accuracy, compliance, and high-quality output.

o Address audit findings and ensure corrective actions are implemented promptly.

• Strategic Planning:

o Collaborate with leadership to align RCM strategies with business goals.

o Participate in budgeting, forecasting, and planning initiatives related to billing operations.

Employment Status:

You will be employed on a full-time basis, your initial employment will be probationary (3 months), subject to the terms and conditions outlined in our company’s policies and procedures.

Working Hours:

Your standard working hours will be 6 PM to 3 AM PST, Monday through Friday

Other working hours will be scheduled with advance prior notice in a timely manner. (Flexibility based on special conditions).

Job Type: Full-time

Pay: Rs100,000.00 - Rs120,000.00 per month

Work Location: In person