Senior Manager / Director / AVP - Accounts Receivable

Medmecs Billing Services; Mumbai; On-site; INR 3,500,000 - 5,500,000; Full time

Job summary

Medmecs Billing Services seeks a Senior AR Leader (Director/AVP) to direct end-to-end AR operations for US healthcare clients from India, on US night shift. Lead a 50–100 FTE team, drive collections efficiency, and manage client relationships.

You will oversee end-to-end AR cycles, monitor key metrics, solve denials, and partner with IT for automation and reporting improvements. Strong leadership and US healthcare knowledge required.

Qualifications

• Requires 10–15 years of progressive US Healthcare AR/RCM experience in a BPO/KPO setup.
• Minimum 3–5 years in a managerial or senior leadership role managing large AR teams.
• Deep knowledge of US healthcare billing lifecycle: charge entry, submission, denial mgmt, posting, collections.
• Strong proficiency with payer rules across Commercial, Medicare, Medicaid, and Managed Care.
• Proficiency in practice management/billing systems (CMD/AMD/eCW) and reporting tools.
• Willingness to work full-time from office on US night shift (EST/CST hours).

Responsibilities

• Oversee end-to-end AR follow-up across multiple payers (Commercial, Medicare, Medicaid, MC).
• Monitor AR metrics: AR Days, Collection Rate, First Pass Resolution, Denial Rate, Ageing buckets.
• Drive timely resolution of outstanding claims and achieve SLA targets.
• Implement denial management workflows and root-cause analyses.
• Lead and coach AR Analysts, Team Leads, and Associates (50–100 FTE).
• Prepare and present AR performance dashboards to senior leadership.
• Ensure HIPAA compliance and coordinate with IT for system improvements.
• Develop SOPs and best practices for the AR function.

Skills

AR management

People management

Stakeholder engagement

Analytical skills

Advanced Excel

US healthcare billing knowledge

Education

Bachelor’s or Master’s degree in Commerce/Business Administration/Healthcare Management

Tools

CMD

AMD

eCW

Excel

Job description

About the Role :

We are seeking a highly experienced and results-driven Senior Manager / Director / AVP Accounts Receivable to lead end to end AR operations for our US healthcare clients.

This is a senior individual contributor and people management role requiring deep expertise in the US healthcare revenue cycle, strong analytical capabilities, and the ability to drive collections efficiency across multiple client portfolios. The incumbent will work out of our India office on the US shift, collaborating closely with onshore client stakeholders and cross-functional teams.

Key Responsibilities :

AR Operations & Collections Management

• Oversee end-to-end AR follow-up for assigned client accounts across multiple payers including Commercial, Medicare, Medicaid, and Managed Care.
• Monitor and manage key AR metrics ,AR Days, Collection Rate, First Pass Resolution Rate, Denial Rate, and Ageing Bucket distribution.
• Drive timely resolution of outstanding claims, ensuring collections targets and SLA benchmarks are met consistently.
• Implement and oversee denial management workflows, root cause analysis, and corrective action plans.
• Manage work queues, prioritise high-value/ageing claims, and ensure zero revenue leakage.

Team Leadership & Performance Management

• Lead, mentor, and manage a team of AR Analysts, Team Leads, and Associates (team size: 50-100 FTE's).
• Define daily/weekly targets, conduct performance reviews, and implement productivity improvement plans.
• Identify training gaps and coordinate with the L&D team for skill enhancement and cross-training programs.
• Foster a high-performance, accountability-driven team culture aligned with client expectations.

Client Engagement & Stakeholder Management

• Serve as the primary point of escalation for AR-related client queries and issues.
• Participate in weekly/monthly client review calls, presenting performance dashboards, trend analysis, and action plans.
• Build and maintain strong, trust-based relationships with US-based client stakeholders and onshore counterparts.
• Manage client escalations professionally, ensuring prompt resolution and communication.

Process Improvement & Compliance

• Identify process gaps and drive initiatives to optimise AR workflows, reduce denial rates, and accelerate cash flow.
• Ensure adherence to HIPAA regulations, client-specific compliance policies, and internal quality standards.
• Collaborate with IT and technology teams on system enhancements, automation, and reporting improvements.
• Develop and document SOPs, process guides, and best practices for the AR function.

Reporting & Analytics

• Prepare and present comprehensive AR performance reports daily, weekly, and monthly to senior leadership.
• Analyse payer behaviour, reimbursement trends, and denial patterns to drive strategic decision-making.
• Maintain dashboards and data integrity across practice management and billing systems.

Required Qualifications & Experience

• Bachelor's or Master's degree in Commerce, Business Administration, Healthcare Management, or a related field.
• 10-15 years of progressive experience in US Healthcare AR / Revenue Cycle Management in a BPO / KPO setup.
• Minimum 3-5 years in a managerial or senior leadership role managing large AR teams.
• In-depth knowledge of the US healthcare billing lifecycle charge entry, claim submission, denial management, payment posting, and collections.
• Strong working knowledge of payer-specific rules across Commercial, Medicare, Medicaid, and Managed Care plans.
• Proficiency in practice management / billing systems such as CMD, AMD, eCW or similar platforms.
• Advanced proficiency in Microsoft Excel (pivot tables, VLOOKUP, dashboards) and reporting tools.
• Demonstrated track record of achieving and exceeding AR and collections targets in a high-volume BPO environment.
• Willingness and ability to work full-time from the office on the US shift (night shift, EST/CST hours).

Communication & Interpersonal Skills

• Exceptional verbal and written English communication skills mandatory for daily interaction with US based clients and stakeholders.
• Ability to present complex data and operational insights clearly and confidently to senior leadership and client teams.
• Strong negotiation and conflict-resolution skills for managing payer disputes and client escalations.
• Effective cross-functional communicator with the ability to collaborate seamlessly across operations, quality, IT, and HR teams.
• Executive presence with professional email etiquette and formal business communication skills.

Preferred / Good to Have

• Certification in Healthcare Revenue Cycle (CRCR, CHFP, or equivalent) is highly desirable.
• Experience with automation tools for AR workflows is a strong advantage.
• Exposure to multi-speciality or hospital billing environments.
• Six Sigma / Lean process improvement certification.
• Prior experience handling transition or on boarding of new AR client accounts.

Work Mode

• Work from Office 5 days a week (mandatory). No hybrid/remote option.
• Candidates must be comfortable working night shifts from the office on a permanent basis. Flexibility to extend hours during month-end, quarter-end, or client escalation periods is expected.

Shift Timing

US Night Shift aligned to EST/CST (approx. 6:30 PM 3:30 AM IST or as per client requirement).