Aug 2023 – Present · 2 yrs 10 mos · Hybrid

• Team Management and Leadership:
• 1.Supervise a team of AR callers, providing guidance, support, and mentorship to achieve departmental goals.
• 2.Conduct regular team meetings, one-on-one sessions, and performance evaluations to drive accountability and continuous improvement.
• 3.Foster a positive and collaborative work environment that encourages teamwork and professional development.
• Accounts Receivable Oversight:
• 1.Oversee the accounts receivable process, including insurance claims follow-up and patient account resolution.
• 2.Monitor productivity and efficiency metrics (e.g., call volume, claim resolution rate) and implement strategies to optimize team performance.
• 3.Ensure adherence to departmental policies, procedures, and quality standards.
• Insurance and Payer Relations:
• 1.Handle escalated insurance claim issues and complex payer inquiries, providing expertise and assistance to team members.
• 2.Develop and maintain relationships with insurance company representatives to expedite claim processing and resolve payment delays.
• 3.Stay informed about changes in insurance policies, billing guidelines, and reimbursement regulations.
• Process Improvement and Training:
• 1.Identify opportunities for process enhancements and workflow optimization within the AR calling function.
• 2.Develop and deliver training programs to equip team members with the skills and knowledge necessary to excel in their roles.
• 3.Implement best practices and standard operating procedures to drive operational efficiency and quality outcomes.
• Reporting and Analysis:
• 1.Generate regular reports on team performance metrics, KPIs, and key trends in accounts receivable.
• 2.Analyze data to identify areas of improvement, implement corrective actions, and track progress towards goals.

May 2022 – Aug 2023 · 1 yr 3 mos · Hybrid

• ● Hold team briefings daily with the Team.
• ● Provide one-on-one feedback and send email with the Productivity/Quality feedback daily/weekly.
• ● Ensuring that the Team is achieving the set SLA (Service Level Agreements) for production and Quality.
• ● Effective communication with Client through email/voice to ensure day to day deliverables.
• ● Performing Consolidation of the Team production.
• ● Preparing MOM of client call, SOP for the team, Progress report.
• ● Preparing Denial analysis for top 5 denials weekly and monthly.
• ● Allocation of accounts to Team members.
• ● Updating Performance summary and deficit report, attendance tracker, downtime tracker.
• ● Supplying training for new recruits.

Aug 2020 – May 2022 · 1 yr 9 mos · Hybrid

• ● Performing Consolidation of the team production.
• ● Preparing MOM of client call, SOP of the team.
• ● Updating Performance summary and deficit report, attendance tracker, downtime tracker.
• ● Providing training for freshers and new joiners.
• ● Perform outbound calls to insurance companies in US to collect the outstanding accounts receivable.
• ● Review outstanding insurance balances to identify and resolve issues preventing claim payment.
• ● Analyze the trends and patterns of insurance payments and report the details to the Team Leader for resolution.
• ● Exploring various insurance websites to get claim status, download EOB’s, Appeal claims online, check Authorization, check CCI edits which helps in reducing time during resolving claim.
• ● Analyze EOBs and denials at the CPT / Claim level in addition to finding trends impacting the collections.
• ● Resolving the aged claims and collect outstanding balances to reduce AR days.
• ● Doing self-audit on claims to achieve quality.