Senior Assistant Vice President

Position Title: Senior AVP - Payment Posting, AR, Denial Management
Band: D2
Reporting to: VP

Overview:

As Senior Assistant Vice President - Payment Posting, AR, Denial Managment you will be responsible for leading and managing the end-to-end operations of the Payment Posting and Accounts Receivable (AR) team, ensuring the accurate and timely completion of all processes. This includes overseeing invoice generation, daily deliverables, client communications, payment resolution, and handling patient billing inquiries and complaints. You will drive the strategic direction and operational performance of the team while maintaining adherence to Quality SLAs and TAT targets. This role also requires close collaboration with senior leadership, clients, and internal teams to optimize team performance, efficiency, and customer satisfaction. You will be a subject matter expert (SME) in payment posting and denial management processes, providing leadership and support to your team and ensuring that best practices are followed.

Key Responsibilities:

• Team Leadership & Operational Excellence: Oversee and manage a high-performing team, ensuring all operational deliverables in Payment Posting, AR, and denial management are met according to client specifications, SLAs, and internal KPIs.
• Process Optimization: Analyze and improve team performance by implementing process improvements, automation, and streamlining workflows. Ensure high-quality results by enforcing best practices.
• Client & Stakeholder Management: Serve as the primary liaison between the client and internal teams, ensuring timely resolution of queries, billing issues, and escalations. Communicate effectively with clients through emails and calls, keeping them informed on progress and issues.
• Reporting & Analytics: Lead the preparation and review of various operational and financial reports, including strategic payment trend reports, reconciliation reports, TAT and SLA trackers, and other ad-hoc client reports.
• Team Development & Training: Lead team training initiatives, ensuring the team is up to date on payment posting and denial management best practices. Provide guidance and mentorship to team leaders and members, supporting their career growth and professional development.
• Cross-functional Collaboration: Work closely with internal leadership, clients, and the operations team to bridge communication gaps, resolve operational challenges, and ensure the successful execution of strategic objectives.
• Process Documentation: Maintain thorough and accurate documentation for all processes, policies, and client instructions related to payment posting and denial management.
• Team Management (Span of Control): Oversee a team of 200+ members, managing both on-site and remote team members across PAN India.
• Remote Team Management: Lead and manage remote teams, ensuring consistent performance and adherence to operational goals.

Qualifications:

• Education: Graduate in any discipline from a recognized educational institute.
• Experience:
  • Minimum 15 years of experience in RCM operations, specifically in Payment Posting and Denial Management, with at least 6 years in a leadership role (e.g., Team Lead, Operations Manager, or equivalent).
  • Proven expertise in managing large teams and delivering exceptional client service in a BPO or healthcare outsourcing environment.
  • Extensive hands-on experience with US Healthcare payment posting, denial management, and related RCM processes.
  • Demonstrated success in leading teams to meet and exceed performance targets.
• Skills & Competencies:
  • Strong analytical and problem-solving skills.
  • Proficient in MS Word, Excel, PowerPoint excellent skills in reporting and data analysis.
  • Excellent verbal and written communication skills, with the ability to interact with clients and internal stakeholders at all levels.
  • Expertise in using RCM systems (e.g., Allscripts PMS, Payer Path Clearing House, payer portals, and professional billing systems).
  • Ability to drive performance and manage teams remotely.
  • Familiarity with Urology Specialty is a plus, though not mandatory.
  • Strong process documentation skills and a focus on continuous improvement.
  • Client-facing experience, with a focus on maintaining strong client relationships and exceeding expectations.
• Working Hours & Conditions:
  • Full-time, 40 hours per week
  • Shift: Day/Mid Shift
  • Weekends off
• Remote Work Requirements:
  • Hybrid work model with the majority of work being from home. Occasional on-site work may be required.
  • High-speed broadband internet (minimum 200 Mbps) and power backup for uninterrupted work are mandatory.
  • Compliance with the telecommuter policy is required.

• Preferred Skills:
  • Advanced experience with payment posting tools and systems.
  • Prior experience managing remote teams across multiple geographies.
  • Strong leadership presence, with the ability to drive change and foster a positive team culture.