Manager-AR & Team Leader-AR (US Healthcare RCM)

JD: Manager-AR

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

• Day-to-day operations (Plan, monitor, direct and evaluate Associates production).
• People Management (Work Allocation, on job support, feedback & team building)
• Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP)
• Reports (Internal and Client performance reports)
• Work allocation strategy
• Thorough knowledge of all AR scenarios and Denials
• Should be capable to interact with US clients and manage escalations.
• Should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials Ability to interact positively with team members, peer group and seniors.
• Develop an understanding of the workflows, procedures, and specific criteria for each assigned client.
• Identifies operational priorities and other workflow issues; ensures a constant flow of work so that delivery schedules are met.
• Ensure that schedules are met and communicates with the leadership team if situations occur that hinder meeting deadlines.
• If there is system issues or other emergencies delay in Associates, implements measures/schedules to return to established Associates schedules at the earliest possible time.

Emphasize on productivity goals and takes action to ensure effective and efficient use of staff is maintained. Creatively plan for allocation of extra capacity for backlog Associates.

• Assists in coordinating scheduled quality meetings with the production staff.
• Active involvement in project launch sessions to understand the Associates process and track the daily progress during the launch
• Demonstrated ability to exceed performance targets.
• Ability to effectively prioritize individual and team responsibilities and communicates well in front of groups, both large and small
• Identify opportunities for Automation in the process and work with IT team for implementation.
• Excellent interpersonal skills
• Good analytical skills and proficiency with MS Word, Excel, and PowerPoint
• Good communication Skills (both written & verbal) Skill Set

What You Will Need :

• Must have bachelors or masters Degree.
• 10+ Years of Experience in the Health Care industry
• Must have experience in managing and mentoring large teams for at least 3+ years.
• Good communication skills, both verbal and written.

JD: Team Leaser AR

• Responsible for supervising the team to work on assigned cases
• Monitor Team's production and SLA delivery
• Keep a record of client KPIs and team's performance against the KPIs
• Monitor the issue logs raised by the client partners and review each issue log prior to being escalated to the customer
• Provide subject matter expertise on Accounts Receivable processes
• Manage and handle effectively escalations raised by the clients
• Provide mentorship, training and coaching to the team
• Adhere to organizational policies and procedures
• Lead by example by demonstrating the highest standards of ethical behavior
• Monitoring and reporting team performance as needed
• Keep the Standard Operating Procedures updated and establish due control mechanisms
• Work with quality and business transformation team to identify, recommend and implement process improvement projects

Job Requirements

To be considered for this position, applicants need to meet the following qualification criteria:

• 5 to 8 years of revenue cycle service delivery management experience
• Account team leadership experience leading 50+ individuals
• Demonstrated expertise in problem-solving and revenue cycle transformation (for e.g. improvement in % of collections, growth of the client account team size etc.)
• Performance record of achievement with great people management & leadership skills
• Strong knowledge of US revenue cycle management for Physician Practices and Hospitals
• Proven track record in problem solving and improving process efficiency through strong analytical and problem solving skills
• Excellent written & verbal communication skills
• Strong leadership skills with an ability to motivate direct reports

Develop the team's talent, drive employee retention and engagement