Job Description

Job Title:

Healthcare Manager - AR & Patient Calling

Department:

Revenue Cycle Management (RCM)

Job Summary:

The Healthcare Manager - AR & Patient Calling is responsible for leading and managing a team of AR callers and patient calling executives to ensure timely follow-up, accurate claim resolution, and exceptional patient communication. This role requires strong leadership, analytical, and operational management skills to drive performance and maintain client satisfaction.

Key Responsibilities:

Team Management:

Supervise AR and patient calling teams to ensure productivity, quality, and adherence to client SLAs.

Performance Monitoring:

Set daily, weekly, and monthly performance targets; monitor team performance using KPIs such as claim resolution rate, call quality, and aging report improvement.

AR Follow-up Oversight:

Guide the team in handling denied, delayed, and pending insurance claims; ensure timely follow-up with payers to secure payments.

Patient Calling Supervision:

Oversee inbound and outbound calls to patients regarding balances, payment plans, and billing inquiries while maintaining empathy and professionalism.

Process Improvement:

Identify root causes of recurring issues and implement process enhancements to improve collection efficiency and reduce AR days.

Client Coordination:

Serve as the primary point of contact for clients; provide performance reports and address escalations promptly.

Training & Development:

Conduct regular training for team members on claim handling, communication skills, and compliance requirements.

Compliance & Quality:

Ensure all operations comply with HIPAA and organizational quality standards.

Reporting:

Generate and analyze daily/weekly/monthly AR performance reports and share insights with senior management.

Required Skills & Qualifications:

Strong understanding of US healthcare RCM processes, including AR, denials, and patient billing. Excellent leadership and people management skills. Strong communication and interpersonal skills to manage client relationships and internal teams. Proficiency in MS Excel, reporting tools, and RCM software (e.g., Kareo, Athena, eClinicalWorks, AdvancedMD, etc.). Ability to handle escalations and drive resolution within deadlines. Analytical mindset with a focus on improving operational KPIs.

Educational Qualification:

Bachelor's degree in Commerce, Healthcare Administration, Life Sciences, or related field. MBA or Postgraduate qualification in Healthcare Management (preferred).

Experience:

4 to 8 years of experience in US Healthcare RCM process. Minimum 2 years of experience in a team lead or managerial role specifically in AR and patient calling process.

Key Performance Indicators (KPIs):

Reduction in AR days and denials. Increase in collection rate and first call resolution. Team quality and call audit scores. Client satisfaction and retention rate. Team adherence to process SLAs and compliance.
Job Types: Full-time, Permanent

Pay: ?45,000.00 - ?90,000.00 per month

Benefits:

Provident Fund
Work Location: In person