01Key Responsibilities
- Lead end-to-end US Healthcare AR operations.
- Manage large operational teams of 250+ FTEs including Managers, Team Leads, SMEs, and AR Analysts.
- Drive AR collections performance and maximize reimbursement from insurance payers and patients.
- Monitor and improve key healthcare AR metrics including Aging, Collection Ratio, Denial Rate, First Pass Resolution, and Productivity.
- Handle escalations related to claim denials, underpayments, appeals, and payer disputes.
- Ensure compliance with HIPAA, healthcare regulations, and client-specific quality standards.
- Conduct governance calls, business reviews, and operational reviews with US clients and stakeholders.
- Collaborate with Coding, Billing, Credentialing, Payment Posting, and Provider Relations teams.
- Drive process improvement, automation initiatives, and transition/migration projects.
- Analyze payer trends, denial patterns, and revenue leakage opportunities.
- Manage workforce planning, attrition control, employee engagement, and leadership development.
- Ensure achievement of SLA, TAT, quality, productivity, and financial targets. .
