Team Leader -RCM

Customer Focus - Is dedicated to meeting the expectations and requirements of internal and external customers, gets first hand client information and uses it for improvements in the respective RCM process
Establishes and maintains effective relationships with clients and gains their trust and respect
Integrity & Trust - Is widely trusted; is seen as direct, truthful individual; can present the unvarnished truth in an appropriate and helpful manner; keeps confidences; admits mistakes; doesn t misrepresent him/herself for personal gain
Ethics & Values- Adheres to an appropriate and effective set of core values and beliefs during both good and bad times; acts in line with those values; rewards the right values and disapproves others
Action Oriented - Enjoys working hard; is action oriented and full of energy for things he/she sees as challenging; not fearful of acting with a minimum of planning; seizes more opportunities than others
Process Management- Good at figuring out the processes necessary to get things done; knows how to organize people and activities; understands how to separate and combine tasks into efficient work flow; knows what to measure and how to measure it; can see opportunities for synergy and integration where others cant; can simplify complex processes; gets more out of fewer resources.
Prepare dashboards and other metric reports required to manage operations and day to day activities
In-depth working knowledge of the various insurance websites for obtaining claim status information and issue resolution
Ensure all work-flow activities are completed within the set turn-around time and action completed in the client system
Able to analyze EOBs and denials at the CPT / Claim level in addition to finding trends impacting the collections
Good working knowledge of resolving the aged claims and collect outstanding balances
In-depth knowledge of calling Federal, commercial and workcomp payers
Should be able to achieve the set target in the given turn around time
Coach team members and identify the training needs for bottom performers
Ability to lead the client interactions and provide appropriate resolution on the outstanding AR issues
Good at figuring out the processes necessary to get things accomplished; knows how to organize people and activities; understands how to separate and combine tasks into efficient work flow; knows what to measure and how to measure it; can see opportunities for synergy and integration where others cant; can simplify complex processes; gets more out of fewer resources
Should be willing to work in night shifts.
Strong analytical and problem-solving skills
Ability to work independently as well as in a team environment
Good hands on experience to analyze raw data, draw conclusions and develop actionable recommendations
Ability to adapt quickly to new and changing technical environments
Extremely good in written and verbal communication skills. Posting Category Healthcare Opportunity Type Regular Country India