SPE-AR Management HC

Job Summary

This hybrid night shift role focuses on end to end account receivable management for healthcare products within the revenue cycle management domain ensuring accurate claim handling timely collections and effective resolution of denials to optimize provider cash flow and support sustainable patient care delivery in a multinational environment.

Responsibilities

• Manage daily account receivable work queues for healthcare product lines to ensure timely follow up on outstanding claims and accounts while maintaining agreed service levels and accuracy targets.
• Analyze claim aging reports to identify high impact delinquent accounts and implement focused follow up actions that improve days sales outstanding and overall cash flow performance.
• Review insurance remittance information and associated documentation to validate correct payment posting and identify underpayments or overpayments for prompt adjustment or escalation.
• Communicate professionally with payer representatives and internal stakeholders through approved channels to clarify billing issues resolve discrepancies and obtain required information for claim resolution.
• Investigate root causes of claim denials and rejections within the revenue cycle process and document clear action steps that support effective resubmission or corrective measures.
• Update account level notes and system records in a detailed consistent and timely manner so that team members and supervisors have full visibility into status history and pending actions.
• Coordinate with coding billing and enrollment teams to address data quality issues that impact claim acceptance and reimbursement while promoting continuous process refinement.
• Monitor compliance with payer specific rules organizational policies and healthcare regulatory standards while handling all account activities with high ethical and confidentiality standards.
• Prepare concise operational summaries and metrics for assigned portfolio such as collected amounts resolved accounts and denial trends to support performance tracking and process improvement discussions.
• Support implementation of new healthcare product workflows system enhancements or client specific guidelines by providing feedback from frontline account receivable operations.
• Collaborate with quality and training teams to adopt best practices that reduce avoidable denials improve first pass resolution and enhance patient and client satisfaction outcomes.
• Prioritize work activities effectively during night shift hybrid operations to align with payer availability and internal cutoff timelines thereby maximizing productivity and collection impact.
• Participate in continuous learning related to payer policy updates healthcare product features and revenue cycle regulations to maintain role effectiveness and ensure accurate claim handling.
  
  

Qualifications

• Possess foundational experience in healthcare revenue cycle operations with hands on exposure to account receivable processes claim follow up and denial resolution within the specified experience range.
• Demonstrate working knowledge of healthcare product structures payer types and reimbursement methodologies relevant to provider billing and collection activities.
• Exhibit strong analytical skills to interpret aging reports remittance data and denial patterns and to translate these insights into practical follow up actions.
• Apply clear concise and respectful communication skills in written and verbal formats when interacting with payers internal teams and where applicable client representatives.
• Utilize common office productivity tools and revenue cycle systems with accuracy and speed while adapting quickly to new platform features or workflow changes.
• Display high attention to detail and accountability in documenting account activities protecting sensitive health information and adhering to organizational compliance standards.
• Adapt effectively to hybrid work conditions and consistent night shift schedules while maintaining reliable attendance focus and performance on time bound account tasks.