Job
Description
Work Location: Gurgaon/Tikri/ Hyderabad/ Noida (As per Company Requirement) Division/Department: FCC (Front End - Operations) Reports to: Operation Manager Operations Overview of Process:Hiring Front End Leaders for PFSS Department under Sub department: FCC for following Front End LOBs: Scheduling & Eligibility/Authorization Verification Process.Scheduling - Under Scheduling business, we have multiple workflows and majorly defined ad Shelling & Fax Indexing Shelling: This is the initial phase wherein FCC team creates the encounter/visits with provided information in host system. An encounter ID gets created and assigned to patient who are scheduled for future date of service. The account then moves to other workflows.Fax Indexing: Update the clinical to generate order ID for hospitals. It is like shelling process. Only difference is this that fax indexing team directly gets the fax from the hospital through various work drivers and after reviewing them update the required information in to host system to generate the Order ID.Eligibility and Authorization Verification - In Verification we have three different types of work as following:Coverage: We verify eligibility, benefits & Authorization for patients who are scheduled for future DOS for services by using website and making calls and update information in various applications, tools, systems.Authorization: We verify auth requirement for patients who are scheduled for future DOS for services by using website and making calls and update information in various tools & Host systems. In case auth required and then next step is too secure auth before patient avail services.Services: We do input CPT/DRG code post reviewing the procedure in various tools/Host systems for DOS of patient, so that auth/eligibility can be secured correctly, and residual can be generated.Job Brief:We are looking for a responsible individual for this this role who can help to organize and run organizational day to day requirement. We require a candidate to manage the workforces in a way that encourages teamwork, cooperation, productivity improvement & tactfully management of all responsibilities. You should also be able to act proactively to ensure smooth team operations and effective collaboration. Must possess at least basic understanding or awareness around different LOBs of RCM. Skill Requirement:Excellent written and verbal communication skillsStrong Knowledge of MS Office, SQL, Analytical skills mandatoryExcellent Personal and Interpersonal skills; Quick Decision making & problem-solving abilitiesUS Healthcare Domain knowledge and AwarenessAbility to adapt fast paced work culture and deliver resultsStakeholder Management, Time Management, Report Management, Work Management, People Management, Process Management (New & Old Process) etc. and not limited to this onlyShould be able to adapt (Unlearn & Learn) as per the Organizational and Business Requirements and work on successful implementationUnderstanding of criticality of defined SLAs and delivering the resultsTo constantly evaluate and adopt measures to improve service levels to meet changing business and client requirementsTo schedule resources according to customer estimates to deliver the SLAs and to dynamically adjust the resources whenever necessary to maintain the SLAsClear understanding of KRAs and thrive results in line with the desired goals and expectationsMust have chaired Performance Evaluation and ManagementShould possess basic understanding of general policy and procedures of day-to-day operations as per market standardsProactive approach, excellent work ethicsOptimizing resource utilizationAccomplishes department objectives by managing staff; planning and evaluating department activitiesMaintains staff by recruiting, selecting, orienting, and training employeesEnsures a safe, secure, and legal work environmentDevelops personal growth opportunitiesAccomplishes staff results by communicating job expectations; planning, monitoring, and appraising job resultsEnsure the team is aware of the combined end goals and establish operation objectives to meet the client deliverablesExperienced in Coaching, counseling, and disciplining employeesCapable to Handle Consequences within the team and managing them Develops, coordinates, and enforces systems, policies, procedures, and productivity standardsDefines objectives, identifies and evaluates trends and options, chooses a course of action, and evaluates outcomesHigh independent thinking skills required to determine root cause of the problem and formulate solutionHandling Work Pressure, Fostering Teamwork, Giving FeedbackMaintains quality service by enforcing quality and customer service standards, analyzing and resolving quality and customer service problems, and recommending system improvementsContributes to team effort by accomplishing related results as neededLiaison with inter and intra departmental stakeholdersMonitor process documents, ensure all updates from client are recorded and maintain regular Qualification: Graduate in Any Stream other than B.Tech. Experience Range: 2 -4 Years as Assistant Manager or equivalent designation Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
