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52 Huron Technologies Jobs
Team Leader - 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.
As an RCM Team Lead, you will be responsible for team handling, work allocation, client interactions and generate, distribute RCM metrics reports to the leadership team.
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 discipline.
Customer Focus - Is dedicated to meeting the expectations and requirements of internal and external customers, gets firsthand 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.
Education/Certifications:
Graduate
5+ years of industry experience
2+ year experience in Accounts Receivables and Denial Management
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.
Education/Certifications:
Graduate
5+ years of industry experience
2+ year experience in Accounts Receivables and Denial Management
Employment Type: Full Time, Permanent
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Flexible timing
Monday to Friday
No travel
Day Shift
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