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52 Huron Technologies Jobs
SME / Process Specialist - RCM
Huron Technologies
posted 14hr ago
Job Role Insights
Flexible timing
Key skills for the job
Job Description
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.
Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
Joining the Huron team means you ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.
Join our team as the expert you are now and create your future.
Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
Joining the Huron team means you ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.
Join our team as the expert you are now and create your future.
Excellent communication skills, attention to detail, and strong technical and problem solving skills are essential aspects of this role.
JOB DETAILS:
Experience in handling a team / group of 15 to 20 FTEs
Thorough understanding of RCM processes like Billing, Cash Posting, Credit Balance, Accounts Receivables, Denial Management Correspondence review
Very good understanding of RCM metrics like Days in AR, Ageing above 90 days, Collections and bad debt
Periodically review teams performance and recommend performance improvement plan wherever required
Hands on in preparing daily, weekly monthly operational metrics reports from the Practice Management/Billing System and workflow tool using MS-Excel
Identify trends and patterns from the generated reports and initiate action plan to resolve the AR issues
Responsible for work allocation / distribution to the team and monitor the team work
Create and maintain daily operational scorecards to track and report KPI s; assist in volume forecast and capacity planning as required
Generate and distribute management reports in accurate and timely manner
Perform data analysis for generating reports on periodic basis including adhocs
Establish a strong relationship with Team Managers by demonstrating the gaps, trends patterns identified during the data/report compilation
Suggest ways of improving the process using Lean Six Sigma methodology and suggesting automation of repetitive processes
Able to interact with the client effectively
Willing to work in night shift / US timings
QUALIFICATIONS:
5+ years of industry experience
3+ year Experience in relevant billing functions is a must
Proficient in MS Excel and creating Excel macros
Strong ability to analyze raw data, draw conclusions and develop actionable recommendations
Ability to handle multiple tasks of reporting simultaneously
Ability to adapt quickly to new and changing technical environments as well as strong analytical, problem solving and quantitative abilities.
Solid verbal and written communication skills are required.
Education/Certifications:
Graduate in any disclipline.
Experience in handling a team / group of 15 to 20 FTEs
Thorough understanding of RCM processes like Billing, Cash Posting, Credit Balance, Accounts Receivables, Denial Management Correspondence review
Very good understanding of RCM metrics like Days in AR, Ageing above 90 days, Collections and bad debt
Periodically review teams performance and recommend performance improvement plan wherever required
Hands on in preparing daily, weekly monthly operational metrics reports from the Practice Management/Billing System and workflow tool using MS-Excel
Identify trends and patterns from the generated reports and initiate action plan to resolve the AR issues
Responsible for work allocation / distribution to the team and monitor the team work
Create and maintain daily operational scorecards to track and report KPI s; assist in volume forecast and capacity planning as required
Generate and distribute management reports in accurate and timely manner
Perform data analysis for generating reports on periodic basis including adhocs
Establish a strong relationship with Team Managers by demonstrating the gaps, trends patterns identified during the data/report compilation
Suggest ways of improving the process using Lean Six Sigma methodology and suggesting automation of repetitive processes
Able to interact with the client effectively
Willing to work in night shift / US timings
QUALIFICATIONS:
5+ years of industry experience
3+ year Experience in relevant billing functions is a must
Proficient in MS Excel and creating Excel macros
Strong ability to analyze raw data, draw conclusions and develop actionable recommendations
Ability to handle multiple tasks of reporting simultaneously
Ability to adapt quickly to new and changing technical environments as well as strong analytical, problem solving and quantitative abilities.
Solid verbal and written communication skills are required.
Education/Certifications:
Graduate in any disclipline.
Employment Type: Full Time, Permanent
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based on 7 employees
Flexible timing
Monday to Friday
No travel
Day Shift
Huron Technologies Benefits
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