Manager - LCM

Role & responsibilities Cost control, Negotiations with hospitals, Bill revision, Savings update, and reprocessing
Knowledge and Skill Requirements
Technical Competencies

• Claims processing - Preauthorization, Medical adjudication, Billing experience
  
• GIPSA / MA package / SOC / Tariff deviations
  
• Identifying Bill inflations - Insurance Corporate billing
  
• Revenue Leakage,Cost control and negotiations
  
• Audit on bundling / Unbundling of procedures
  
• Knowledge of surgeries, Advanced treatment, and cost of procedures
  
• Reasonable Customary clause
  

Behavioral Competencies : Communication, Teamwork, Time management