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