Associate Director (Payment Posting) - US Healthcare RCM

We have an opportunity for the Associate Director position in Hyderabad and Mumbai, the details of which are as given below:

Position

Location

Qualifications:

Functional Competencies & Role Prerequisites:

• Experience of working for at least 10 years into any of the RCM lines of business.
• Knowledge of

  Payment Posting

  function is a must.
• Knowledge of federal and the top 5 commercial payors is a must.
• Basic Knowledge of Microsoft Tools / Gsuite would be mandatory.
• Good Feedback and Coaching Skills.
• Delegation.

Profile Description:

Key Responsibilities:

Process:

• 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 instructions 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
• 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

Team Management:

• Drive high levels of employee engagement (include Daily, weekly, monthly team connects 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
• Monthly One-on-One connects to be closed with all the team members

Client Management:

• Being part of daily/weekly client update calls OR reviews.
• Timely response to client queries and requirements over email
• Partner and support the BI team in preparing important client reports for the process and releasing the same to the clients as per deadlines.

shivani.tripathi@ikshealth.com.