01Overview
Role Boundary (Experience in US Healthcare Domain is Mandatory) This role owns all post-billing Accounts Receivable and Revenue Cycle activities. Billing and claim submission remain the responsibility of Billing Specialist. This role assumes ownership immediately after billing has been completed and is accountable for the complete post-billing revenue cycle through to cash collection, revenue reconciliation and reporting. Key Responsibilities 1. Accounts Receivable Leadership Lead and manage the complete post-billing Accounts Receivable function across all healthcare services. Key responsibilities include: - Own end-to-end Accounts Receivable performance across all product lines. - Drive timely collection of outstanding receivables. - Improve cash collections and cash flow. - Reduce aged Accounts Receivable. - Improve Days Sales Outstanding (DSO). - Develop collection priorities and recovery strategies. - Escalate high-risk overdue accounts where appropriate. - Ensure accurate reconciliation between billed revenue and cash collections. - Maintain complete visibility of outstanding receivables and collection performance. - Identify collection risks and recommend corrective actions. 2. Provider Collections & Customer Relationship Management Take ownership of collection activities directly with US healthcare customers including: - Physician Groups - Clinics - Hospitals - Practice Administrators - Finance Departments Responsibilities include: - Proactive follow-up of outstanding invoices. - Collection negotiations. - Payment dispute resolution. - Escalation management. - Building strong customer relationships. - Securing payment commitments. - Supporting customer retention through professional financial management. 3. Revenue Cycle Operations Lead operational activities supporting the post-billing Revenue Cycle including: - Insurance follow-up. - Denial management. - Appeals coordination. - Payment posting oversight. - Revenue reconciliation. - Collection reporting. - Revenue leakage identification. - Process improvement initiatives. Partner closely with the Billing Specialist to ensure a seamless transition from billing through to successful cash collection. 4. Revenue Analytics & Executive Reporting Develop meaningful reporting that provides management with complete visibility of Revenue Cycle performance. Prepare regular reports covering: - Days Sales Outstanding (DSO) - Accounts Receivable Ageing - Collection Effectiveness - Cash Collections - Revenue Recovery - Denial Trends - High-Risk Accounts - Collection Forecasts Analyse trends and recommend initiatives that improve working capital and financial performance. 5. Continuous Improvement Drive continuous improvement initiatives across the Revenue Cycle by: - Improving collection efficiency. - Reducing revenue leakage. - Strengthening collection processes. - Developing Standard Operating Procedures (SOPs). - Identifying automation opportunities. - Implementing operational controls. - Improving reporting capability. - Establishing KPI-driven performance management. 6. Leadership & Team Development Establish and build a high-performing Accounts Receivable function. Responsibilities include: - Developing KPIs. - Coaching and mentoring future team members. - Establishing best practice collection methodologies. - Supporting future recruitment. - Building scalable AR processes. - Promoting accountability, ownership and continuous improvement. 7. Cross Functional Collaboration Work collaboratively across the organization to improve Revenue Cycle performance. Partner closely with: - Billing - Clinical Operations - Product Team - Executive Leadership - External Financial Provider Support initiatives that strengthen cash flow, improve operational efficiency and enhance financial discipline. Success Measures (First 12 Months) Success in this role will be measured through demonstrated improvements in: - Reduction in aged Accounts Receivable. - Improvement in Days Sales Outstanding (DSO). - Increased collection effectiveness. - Improved cash flow. - Reduction in revenue leakage. - Accurate re .
