RCM Team Manager (EVBV)

We have openings for the Team Manager position, the details of which are given below:

Position: Team Manager (EVBV)

Experience: 5+ years

Location: Airoli, Navi Mumbai

No. of Openings: 5

Job Responsibilities:

Team Management:

• Help manage team work life balance through efforts on leave planning and rostering. cts) to enable high retention and satisfaction rates..
• Help manage team work life balance through efforts on leave planning and rostering
• Communicate effectively within & with team members & escalate issues to the management for timely resolution.
• Continuously manage performance through timely and effective feedback and coaching.
• Partner with Recruiting and Training functions to help improve the quality of incoming talent.

Operations & Delivery:

• Manage team production and conduct process Quality monitoring.
• Manage work assignment allocation & review of work list.
• Encourage & engage team members for continuous improvement / process optimization / automation ideas.
• Manage Business Intelligence through reports & MIS for internal / client use.
• Determine validity of move to client, either send back instruction to Rep or approve & move to client.
• Review coding review requests & quantify preventable issues.
• Communicate to Billing, PP or Coding as applicable.
• Scenario findings to all staff for examples that were not valid coding review needs.
• Work with Coding on responses that can be used in appeals when coded correctly Review denial adjustments for validity - quantify preventable issues.
• Communicate to applicable departments to minimize and use accounts as examples in training for more effective actions.
• Review high risk/aged/ excessive incomplete action account balances.
• Manage up review AR findings and feedback.
• Create QA & Tip for week from client, payer, and account assessment scenarios.
• Manage Global Issues Review process / function managed for Global Issues, high risk / aged items, Payer Trends, training needs for team members.
• Create case studies on identified issues impacting team performance / client business and share inputs with Quality & Training Teams.

Compliance:

• Ensure highest levels of Organization and Healthcare related compliance requirements are adhered to.
• Ensure adherence to maintaining all necessary process documentation as per the QMS.

Mandatory Requirements:

• Graduation in any stream
• Work experience of 5+ years in RCM with relevant experience in the Eligibility Verification functions of a US Healthcare Setup
• 3+ years of experience in managing teams of 20+ executives
• Experience in setting & measuring team targets, basic people management & leadership skills

If interested, kindly email your updated resume to shivani.tripathi@ikshealth.com