Manager AR (UB04) - Mumbai

ECLAT Health Solutions; Mumbai; In loco; INR 2.500.000 - 4.500.000; Tempo pieno

Descrizione del lavoro

ECLAT Health Solutions is seeking an experienced Manager to oversee end-to-end hospital billing and accounts receivable operations for UB04 claims. The role emphasizes denial resolution, claims follow-up, team leadership, client communication, compliance, and revenue cycle optimization.

The position requires strong knowledge of RCM, denial management, payer guidelines, and hospital billing workflows, with experience in US healthcare settings and familiarity with EPIC/Cerner/Meditech preferred.

Descrizione del lavoro

The Manager is responsible for overseeing end-to-end hospital billing and accounts receivable operations related to UB04 claims. The role includes managing denial resolution, claims follow-up, team performance, client communication, compliance, and revenue cycle optimization.

Key Responsibilities

• Manage hospital billing operations for UB04 claims.
• Lead AR follow-up and denial management teams.
• Monitor aging reports, denial trends, and productivity metrics.
• Ensure timely submission and resolution of claims.
• Handle escalations related to Medicare, Medicaid, HMO, PPO, and commercial payers.
• Analyze EOBs, denials, underpayments, and reimbursement issues.
• Maintain SLA, quality, and productivity targets.
• Conduct team training, coaching, and performance reviews.
• Coordinate with clients and internal stakeholders for process improvements.
• Ensure compliance with HIPAA and payer guidelines.
• Prepare MIS reports and operational dashboards.

Required Skills

• Strong knowledge of:
  • UB04 claim forms
  • Revenue Cycle Management (RCM)
  • Denial Management
  • Insurance Follow-up
  • Medicare/Medicaid guidelines
  • ICD-10, CPT, HCPCS basics
• Leadership and people management skills.
• Good analytical and communication abilities.
• Expertise in hospital billing workflows and payer policies.
• Experience with EPIC/Cerner/Meditech preferred.
• Typically 6–10+ years in US Healthcare RCM.
• 2–4 years in Assistant Manager/Manager role.
• Experience in Hospital Billing (UB04 mandatory).