AR Caller Team Lead - Physician Billing

Talentboon Consulting; Hyderabad; On-site; INR 900,000 - 1,300,000; Full time

Job summary

Talentboon Consulting in Hyderabad, India, seeks a senior Accounts Receivable and Denial Management Team Lead to manage day-to-day AR activities and mentor the AR team for US healthcare.

The role focuses on denial management, payer follow-up, CMS-1500/UB-04, aging buckets, and achieving timely reimbursements while driving process improvements and accurate documentation.

Qualifications

• Minimum 6+ years in AR Caller Physician Billing/Denial Management (Semi Voice Process).
• At least 6 months as AR Team Lead on Papers.
• Strong experience in US Healthcare AR/Revenue Cycle Management.

Responsibilities

• Lead and manage day-to-day Accounts Receivable and Denial Management activities.
• Provide end-to-end knowledge in US healthcare AR and Denial Management.
• Monitor AR follow-up with insurance payers for timely resolutions.
• Review EOBs/ERAs to identify denials and payment issues.
• Guide the team on complex and high-value claims and escalations.
• Ensure timely resolution of denied/unpaid/underpaid claims.
• Manage aging AR buckets (30/60/90/120+ days) and improve collections.
• Analyze AR trends and implement corrective actions to reduce aging.
• Maintain CMS-1500 and UB-04 knowledge and payer guideline awareness.

Skills

AR follow-up

Denial Management

US healthcare AR

Communication skills

MS Office/Excel

RCM systems

Team leadership

CMS-1500/UB-04 knowledge

Job description

Role & responsibilities

• Lead and manage the day-to-day activities of the Accounts Receivable and Denial Management team.
• Provide end-to-end knowledge and expertise in US healthcare AR and Denial Management.
• Monitor and drive effective AR follow-up with insurance payers to ensure timely claim resolution and reimbursement.
• Review and analyze EOBs/ERAs to identify denials, underpayments, contractual discrepancies, and other payment issues.
• Handle and guide the team on complex and high-value claims, including appropriate follow-up and escalation.
• Ensure timely and effective resolution of denied, rejected, unpaid, and underpaid claims.
• Monitor and manage aging AR buckets, including 30, 60, 90, and 120+ days.
• Analyze AR trends, identify root causes, and implement corrective actions to reduce aging and improve collections.
• Ensure accurate understanding and application of CMS-1500 and UB-04 claim forms.
• Maintain strong knowledge of payer-specific guidelines, reimbursement policies, billing regulations, and healthcare insurance processes.
• Review account notes and ensure accurate and complete claim status updates and documentation.
• Track team productivity, quality, collection performance, and other key AR metrics.
• Conduct regular performance reviews, provide coaching, and support team members in achieving operational targets.
• Identify training gaps and provide process training, refresher sessions, and on-the-job coaching.
• Escalate complex payer issues, recurring denial trends, and critical accounts to the appropriate internal or client stakeholders.
• Prepare and analyze AR reports, productivity reports, aging reports, denial reports, and collection metrics.
• Collaborate with Billing, Coding, Payment Posting, Denial Management, and other RCM teams to resolve account-level and process-related issues.
• Maintain effective communication and professional relationships with insurance payers, clients, patients, and internal stakeholders.
• Demonstrate strong communication, negotiation, problem-solving, and decision-making skills during payer follow-up and issue resolution.
• Ensure compliance with company policies, payer requirements, HIPAA guidelines, and applicable US healthcare billing regulations.
• Drive continuous process improvement initiatives to improve cash flow, reduce AR days, minimize denials, and increase overall collections.
• Ensure the team consistently delivers high standards of service excellence to patients, clients, and stakeholders.

Preferred candidate profile

• Minimum 6+ Years of experience into AR Caller Physician Billing, Denial Management(Semi Voice Process)
• And also minimum 6 months of experience as AR Team Lead on Papers.
• Strong experience in US Healthcare AR / Revenue Cycle Management.
• Proven experience in Denial Management and insurance AR follow-up.
• Prior experience in a Team Lead role is preferred.
• Strong knowledge of EOBs, ERAs, denials, underpayments, appeals, and claim status processes.
• Expertise in CMS-1500 claim forms.
• Good understanding of US healthcare insurance processes and payer guidelines.
• Strong knowledge of AR aging and account prioritization, particularly 30/60/90/120+ day accounts.
• Excellent analytical, documentation, and problem-solving skills.
• Strong verbal and written communication and negotiation skills.
• Ability to manage team performance, workload distribution, escalations, and productivity.
• Strong attention to detail and ability to work independently as well as within a team.
• Proficiency in MS Office/Excel and healthcare RCM systems is preferred.