Operations Manager

Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.

Essential Duties and Responsibilities

Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.

a) Day-to-day operations

b) People Management (Work Allocation, On job support, Feedback & Team building)

c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP)

d) Reports (Internal and Client performance reports)

e) Work allocation strategy

f) CMS 1500 & UB04 AR experience is mandatory.

g) Span of control - 80 to 100

h) Thorough knowledge of all AR scenarios and Denials

i) Expertise in both Federal and Commercial payor mix

j) Excellent interpersonal skills

h) Should be capable to interact with US clients and manage escalations

Qualifications

Skill Set