Assistant Manager - AR Calling

The Assistant Manager - AR is responsible for overseeing the end-to-end RCM process, ensuring timely and accurate processing of claims, managing denials, and optimizing collections for US-based healthcare providers. This role involves leading a team, ensuring compliance with healthcare regulations, improving AR metrics, and driving efficiency in the process to maximize revenue recovery.

Prior experience in Emergency Medical Services (EMS) will be add on advantage

Skills :

• Strong knowledge of US healthcare AR, insurance billing, and payer guidelines.
• Excellent analytical, problem-solving, and communication skills.
• Experience in working with aging reports, denials, and appeals processing.

Responsibilities :

• Monitor and manage the AR process, including claim submissions, follow-ups, and appeals.
• Ensure timely follow-up on unpaid claims, denials, and appeals with insurance companies.
• Analyze aging reports and take necessary actions to reduce outstanding receivables.
• Analyze and categorize denials to identify trends and root causes.
• Work with clients and insurance providers to resolve recurring denial issues.
• Act as a point of contact for clients, insurance providers, and internal stakeholders.
• Provide regular reports on AR performance, collections, and outstanding receivables.

Key Measurables :

• AR Aging Reduction
• Denial Resolution Rate
• Escalation Resolution Rate