Specalist-AR calling

Job Summary -

A career in our Managed Services team will give you an opportunity to collaborate with many teams to help our clients implement and operate new capabilities, achieve operational efficiencies, and harness the power of technology. Our Revenue Cycle Managed Services team will provide you with the opportunity to act as an extension of our healthcare clients' revenue cycle functions. We specialize in front, middle and back-office revenue cycle functions for hospitals, medical groups, and other providers. We leverage our custom and automated workflow and quality assurance products to enable our clients

to achieve better results, which ultimately allows them to provide better patient care.

Minimum Degree Required (BQ) *:

Bachelor's degree

Degree Preferred:

Required Field(s) of Study (BQ):

Any graduate,Undergraduate

Preferred Field(s) of Study:

Minimum Year(s) of Experience (BQ) *: US

6months-3years of experience

Preferred Knowledge/Skills *:

• Preferred Qualification: Bachelors degree in finance or Any Graduate
• 6 months years of experience in healthcare revenue cycle management, with a focus on accounts receivable and team leadership.
• Strong understanding of medical billing processes, insurance claims management, and revenue cycle operations.
• Excellent communication skills and ability to interact effectively with internal stakeholders, insurance companies, and patients.
• Proficiency in healthcare billing software and Microsoft Office applications.
• Proven leadership abilities with a track record of successfully managing and developing teams.
• Detail-oriented with strong analytical and problem-solving skills.
• Knowledge of regulatory requirements and compliance in healthcare revenue cycle management.
• Shift timings: Flexible to work in night shifts (US Time zone)

Team Management and Leadership:

1. Supervise a team of AR callers, providing guidance, support, and mentorship to achieve departmental goals.
2. Conduct regular team meetings, one-on-one sessions, and performance evaluations to drive accountability and continuous improvement.
3. Foster a positive and collaborative work environment that encourages teamwork and professional development.

Accounts Receivable Oversight:

1. Oversee the accounts receivable process, including insurance claims follow-up and patient account resolution.
2. Monitor productivity and efficiency metrics (e.g., call volume, claim resolution rate) and implement strategies to optimize team performance.
3. Ensure adherence to departmental policies, procedures, and quality standards.

Insurance and Payer Relations:

1. Handle escalated insurance claim issues and complex payer inquiries, providing expertise and assistance to team members.
2. Develop and maintain relationships with insurance company representatives to expedite claim processing and resolve payment delays.
3. Stay informed about changes in insurance policies, billing guidelines, and reimbursement regulations.

Process Improvement and Training:

1. Identify opportunities for process enhancements and workflow optimization within the AR calling function.
2. Develop and deliver training programs to equip team members with the skills and knowledge necessary to excel in their roles.
3. Implement best practices and standard operating procedures to drive operational efficiency and quality outcomes.

Reporting and Analysis:

1. Generate regular reports on team performance metrics, KPIs, and key trends in accounts receivable.
2. Analyze data to identify areas of improvement, implement corrective actions, and track progress towards goals.

PMS Experience:

• Epic HB & PB experience is Mandatory