Deputy, RCM

AR & Billing Operations

• Supervise daily AR follow-up and medical billing activities across assigned clients or specialties.
• Monitor claim submission processes to ensure clean claim rates and timely billing.
• Review aging reports and prioritize high-value and timely filing accounts.
• Oversee denial management, appeals, corrected claims, and payment variance analysis.
• Ensure resolution of escalated payer issues and complex claim scenarios.
• Track payer trends and implement corrective action plans to reduce denials and AR days.
• Coordinate with coding, credentialing, authorization, and payment posting teams for issue resolution.
• Ensure adherence to payer guidelines, compliance standards, and client SLAs.

Team Management

• Lead, mentor, and manage AR and billing associates/senior associates.
• Monitor team productivity, quality, attendance, and performance metrics.
• Conduct regular team huddles, audits, and feedback sessions.
• Support hiring, onboarding, and training initiatives for new team members.
• Develop performance improvement plans and coaching strategies where required.
• Ensure backup planning and workload distribution within the team.

Client & Process Management

• Participate in client calls and provide operational updates and KPI reports.
• Prepare and review weekly/monthly operational dashboards and AR reports.
• Identify process gaps and implement workflow improvements and automation opportunities.
• Maintain strong communication with internal departments and external payer representatives.
• Support transition activities, process documentation, and SOP maintenance.

Compliance & Quality

• Ensure HIPAA compliance and data confidentiality standards are maintained.
• Perform quality audits on claims, denials, and follow-up activities.
• Monitor adherence to internal quality benchmarks and operational targets.
• Ensure accurate account documentation within billing systems.

Technical Skills

• Experience with EMR/EHR and billing platforms such as Cernar, Epic, ECW, Athena, NextGen, Kareo, etc.
• Familiarity with clearinghouses like Waystar, Availity, Office Ally, Change Healthcare, etc.
• Proficiency in Microsoft Excel, reporting, and operational dashboards.

Required Skills

• Strong leadership and people management skills
• Excellent analytical and decision-making abilities
• Effective communication and stakeholder management
• Strong problem-solving and escalation handling skills
• Ability to manage multiple priorities in a fast-paced environment
• High attention to detail and process orientation