L6 - Supervisor - Claim Assembly, Denials & Reconciliation Unit

Job Summary

L6 - Supervisor - Claim Assembly, Denials & Reconciliation Unit

Vellore

BPS - Medical Billing

Responsibilities

• Operations: Drive productivity, quality, SLA, and daily performance across Charges, Payments, and ARM.
• People: Manage workforce allocation, attendance, coaching, and team development.
• Quality & Compliance: Ensure accuracy, compliance, and adherence to process standards.
• Revenue Control: Monitor claims, rejections, payments, denials, reconciliation, and aging.
• Escalations: Resolve critical issues and coordinate cross-functional actions.
• Reporting: Track dashboards, identify gaps, and drive corrective actions.
• Improvement: Identify recurring issues and implement sustainable process improvements.

Core Metrics

• C3 Operational Performance Target: 95% SLA & Quality Compliance
• Maintain 95% or higher achievement across defined productivity, quality, SLA, and compliance standards for the C3 unit, measured monthly.

The Fight: What You Will Fight

• The operational breakdown.
• A missed charge becomes a rejected claim.
• A payment discrepancy becomes inaccurate financial data.
• An unresolved denial becomes aged A/R.
• A staffing gap becomes an SLA failure.
• You identify problems before they travel downstream, remove operational bottlenecks, hold teams accountable to standards, and make sure no issue survives simply because it belongs to another team.
• Your job is to keep the entire C3 operation moving - accurately, consistently, and without avoidable delays.

Who Thrives Here

• You see the whole system - connect every process to the final outcome.
• You act before problems escalate - identify risks and take ownership early.
• You build people - create accountable, capable, independent teams.

The WWS Perks

• Leadership with measurable impact
• Cross-functional exposure across the Revenue Cycle
• Structured leadership and team development
• Ownership of process improvement initiatives

Qualifications

• Education: Bachelor s degree in any discipline
• 6+ years of experience in Healthcare RCM with team leadership experience.
• Strong knowledge of Claims, Payments, Denials, A/R, and Reconciliation.
• Strong leadership skills in people management, performance, escalation handling, and process improvement.
• Strong communication, stakeholder-management, escalation-handling, workforce-planning, and decision-making skills.
• Ability to manage multiple workflows simultaneously while maintaining quality, compliance, productivity, and service-level standards

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