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Senior Manager - AR at Acurus Solutions Private Limited

Chennai, tamil nadu, India -

Full Time

Start Date

Immediate

Expiry Date

23 Feb, 26

Salary

0.0

Posted On

25 Nov, 25

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

RCM, Medical Billing, Team Management, Claims Analysis, Denial Reporting, Payer Relationships, Communication Skills, Analytic Mindset, Healthcare Terminology, ICD Codes, CPT Codes, SOP Documentation, Contract Management, Training, Insights Presentation, Denial Trends Monitoring

Industry

Consumer Services

Description

Summary As an AR Manager you should have end to end knowledge of RCM and Medical Billing. Must be capable of handling the team and analyzing the status of claims for the outstanding balances on patient accounts and taking appropriate actions. Manage A/R accounts by ensuring accurate and timely follow-up. Ensure that the deliverable to the client adhere to the quality standards What you'll do Train associates on AR and identify improvement areas Allocate accounts to team members Review denial and AR reporting (Waystar) Analysis / insights about root cause of denials Monitor denial trends by reason, payer, CPT, etc. Establish relationships with payer stakeholders (director level) to discuss issues / non payment Lead weekly CI meetings to: Credentialing Clinics not responding Timely filing denials Present AR and denials status along with insights Escalate issues related to payers (I.e., we need help with this payer because X, here are examples) Escalate issues related to clinic ops Maintain project-related documents (SOPs, training materials, workflows) What you have Any Degree Experience working AR Experience leading teams and leading team leads (leading leaders) Understanding of California / IPA payer landscape Experience with contracts Experience calling payers / establishing relationships with payer stakeholders Communication / presentations skills Analytic mindset Experience documenting materials / SOP At least 10 years experience in RCM Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus KPIs for performance AR Days Repeated Denials Denial follow-up turnaround time Indirect: denial rates should be decreasing

Responsibilities

The Senior Manager - AR will manage A/R accounts, ensuring accurate and timely follow-up on claims and outstanding balances. They will also lead a team, providing training and analyzing denial trends to improve processes.