As a Group Leader at Access Healthcare Services in Hyderabad, you will play a crucial role in leading a specific team to ensure the smooth day-to-day operations. Your responsibilities will include setting and achieving performance targets, overseeing service delivery to ensure high quality, and collaborating with other departments for seamless coordination. Your role will also involve mentoring team members to help them reach their full potential, handling escalations effectively, and providing regular performance reports to senior management. Your strong leadership and mentoring skills will be essential in guiding your team towards success. To excel in this position, you should have experience in performance management and target setting. Excellent communication and interpersonal skills are key, along with the ability to solve problems and resolve conflicts efficiently. Proficiency in industry-specific software and tools is required, and any experience in the healthcare services industry would be advantageous. If you hold a Bachelor's degree in Healthcare Administration, Business Management, or a related field, and possess the mentioned qualifications, we encourage you to apply for this exciting opportunity to make a meaningful impact in the healthcare services sector.,
We are seeking a highly skilled and experienced Group Leader - Quality for our Medical Coding team. The ideal candidate will be responsible for ensuring the highest standards of quality and efficiency in our coding processes. The role requires exceptional leadership, attention to detail, and a comprehensive understanding of medical coding and quality auditing. KEY RESPONSIBILITIES Deliver client Service Level Agreements (SLAs) effectively and consistently Create and maintain all process documentation, ensuring timely updates Manage operations through thorough end-to-end planning, process document review, and root cause analysis Assist in the training and onboarding of new team members Ensure attrition and shrinkage targets are met Review and assess overall staff performance Prepare and process Key Performance Indicators (KPIs), dashboards, and metrics Job requirements : Strong understanding of medical coding concepts Exceptional communication and presentation skills QUALIFICATIONS Minimum 7 years of work experience Proven experience in team handling and management Expertise in Quality Audit, particularly in E&M) Ability to handle client calls independently with excellent email communication skills Proficient knowledge of MS Office, especially Excel
We are seeking a highly experienced training leader to join us as Manager (Business Training) in Chennai. In this role, you will be responsible for developing and implementing training programs that meet the needs of our employees and clients. You will collaborate with various department heads to identify training needs, design training materials, and deliver training programs that are engaging, effective, and aligned with our company's goals and values. KEY RESPONSIBILITIES Build content for the domain university Work with account training managers to ratify and update training content Connect with business leaders to understand the standard of content and work on updates needed in training resources Maintain a report of the content available online and offline Audit the content delivered in the New Hiring Training (NHT) stage across projects Build a learning eco system which enables ease of access to learning Job requirements : Excellent communication skills with English language fluency at C1 (Versant) Strong understanding of working with US clients Great stakeholder management skills Competent in using LMS applications Available to work on night shifts when needed QUALIFICATIONS Minimum 10 years of experience working with RCM clients in US Over 8 years of experience in business training Strong knowledge on all aspects of Healthcare Revenue Cycle Management (RCM) Expert at building and upgrading online content/modules
The Director - corporate Quality will be responsible for designing, implementing, and overseeing the organization's Quality, Security, and Compliance programs. This role demands expertise in managing ISMS, QMS, HITRUST, SOC, PCI-DSS, and BCMS frameworks. The incumbent will lead internal audits, interface with external auditing bodies, ensure regulatory compliance, and maintain client trust through proactive governance and communication. KEY RESPONSIBILITIES Develop, maintain, and improve QMS and ISMS frameworks in alignment with industry standards (ISO 9001, ISO 27001, PCI-DSS, SOC, and BCMS) Expertise in managing the HITRUST certification Ensure compliance with security and quality requirements specific to the healthcare BPO and Revenue Cycle Management industry Plan, manage, and execute internal audits to evaluate compliance and identify opportunities for improvement Interface with external auditing bodies for certifications, surveillance audits, and compliance reviews Lead audit preparation, execution, and follow-ups, ensuring seamless coordination with cross-functional teams Oversee risk assessments and implement appropriate risk mitigation measures Drive compliance with client-specific security and quality standards, including responding to Client Security Questionnaires Maintain and update policies, procedures, and documentation to ensure continual readiness for audits and assessments Spearhead the organization's Business Continuity Management System (BCMS) in alignment with ISO 22301 Define recovery metrics (RTO, RPO, MBCO) and facilitate business impact analysis (BIA) Test and validate business continuity and disaster recovery plans regularly Serve as a primary point of contact for clients during compliance discussions, audits, and assessments Lead client engagements related to quality assurance, security frameworks, and audit processes Address client queries and build trust by demonstrating the organization's compliance readiness Collaborate with IT, Operations, Compliance, and Legal teams to drive organizational initiatives Ensure alignment across teams to meet client and regulatory requirements Conduct regular training and awareness sessions on quality and security standards for internal teams Prepare and present comprehensive reports for senior leadership on audit findings, compliance metrics, and risk status Track and report progress of corrective actions, client concerns, and quality enhancements Job requirements : Comprehensive knowledge of QMS, ISMS, HITRUST, SOC, PCI-DSS, and BCMS frameworks Skilled in conducting internal/external audits and coordinating with external auditing bodies Strong communication and interpersonal skills to manage client relationships and security discussions Ability to manage multiple projects, timelines, and compliance deliverables Ability to assess risk, interpret audit findings, and implement corrective measures Demonstrated ability to lead teams and work effectively across functions Results-oriented and proactive in ensuring compliance readiness Strong stakeholder management skills with the ability to build trust and rapport Excellent written and verbal communication skills Detail-oriented, with a focus on accuracy and quality QUALIFICATIONS 18+ years of experience in quality assurance, compliance, and audit management within the Healthcare BPO industry Proven expertise in implementing and managing ISMS, QMS, HITRUST, SOC, PCI-DSS, and BCMS frameworks Experience in managing client security questionnaires, audits, and external auditor engagements Strong experience in leading cross-functional teams, driving governance, and ensuring process improvements Bachelor's degree in business, Information Technology, Quality Management, or related field. Master's degree preferred Professional Certifications: ISO 27001 Lead Auditor, ISO 9001, HITRUST Practitioner, PCI-DSS, SOC, or similar relevant certifications
We are seeking a dynamic and experienced leader to oversee our Payer Services operations. The ideal candidate will be responsible for setting productivity standards, developing quality control systems, and ensuring smooth transitions for new projects and clients. Apply now and lead our operations team in Chennai. KEY RESPONSIBILITIES Establish productivity standards for all Payer Services operations Collaborate with senior leaders to develop a robust quality control system for the Accounts Receivable process Propose continuous process improvements to enhance value and manage Payer Services effectively Participate in the transition of new projects, engage with clients, and ensure the team meets business requirements Oversee project progress and participate in client meetings Facilitate and monitor quality standards for executives Ensure a seamless transition for all new clients within Payer Services functions Address operational and staffing issues promptly and effectively Job requirements : Excellent communication and people skills Available to work at office in US Shift (06:00 PM to 03:00 AM IST) Strong project management and client coordination skills QUALIFICATIONS Minimum 11 years of work experience Proven experience in a leadership role within Payer Services or a related field
We are seeking an experienced and certified Medical Coding Trainer to facilitate training programs focused on Denial Management. The ideal candidate will possess strong analytical skills, expertise in medical coding using ICD-10-CM, CPT conventions, and HCPCS codes, and a deep understanding of the Revenue Cycle Management (RCM) cycle. The candidate must be AHIMA/AAPC certified and demonstrate the ability to communicate effectively and handle diverse groups of coders. KEY RESPONSIBILITIES Follow the training agenda and facilitate the training sessions for Coding - Denial Management Utilize proficient analytic skills to accurately code medical records using ICD-10-CM, CPT conventions, and HCPCS codes Browse payer guidelines to collate and provide the most accurate payer-specific information Interpret medical records across various specialties and provide appropriate denial actions based on analysis Handle and train diverse groups of new hires and existing coders. Mentor and develop coders capabilities in denial management within the organization Provide Subject Matter Expert (SME) support for transitioning clients Conduct focus and compliance audits for all types of coders and auditors (ATA) Report and analyze trainees performance to ensure client partners are ramping up to meet client and SD/SQ team standards Job requirements : Excellent communication and people skills Strong analytical skills and in-depth knowledge of the Revenue Cycle Management (RCM) cycle QUALIFICATIONS Minimum 5 years of work experience 3 to 4 years in medical coding 1 year in denial coding management 1 year in trainer role Proven experience in a training role within Medical Coding or a related field Experience in training and mentoring coders
We are seeking an experienced Medical Coding leader to join us as Assistant Director of Operations to oversee our multi-specialty coding operations, manage a dynamic team, and ensure the delivery of high-quality services. The ideal candidate will possess strong leadership skills, extensive knowledge in denials, Emergency Medicine (EM), and Emergency Department (ED) coding, and will excel in project management. KEY RESPONSIBILITIES Deliver client SLAs efficiently and effectively Create, maintain, and update all process documentation in a timely manner Manage operations through comprehensive end-to-end planning, process documentation review, and root cause analysis Oversee project management and revenue management Assist in the training and onboarding of new team members Ensure attrition and shrinkage targets are achieved Review and assess overall staff performance Handle client calls with professionalism and clarity Prepare and maintain management and operational reports Maintain process KPI and dashboard metrics Job requirements : Excellent team management and communication skills QUALIFICATIONS Minimum 17 years of work experience with specialty in Denials, EM, and ED Certified coder from AAPC or AHIMA