Director - Pre Authorisation | Shamshabad | US Healthcare

• Strong leadership and mentoring skills, Excellent verbal and written English language communication skills Should have training, coaching skills.
• Ability to absorb key learning's and apply to own project, should have analyzing and reasoning skills.
• Ability to work independently as well as cooperatively with a wide variety of personalities.
• Ability to work on multiple projects simultaneously.
• PC and office machine skills, including Microsoft 2003 & 2007.

Experience

15+ years of healthcare experience in RCM AR / Pre-Auth.

Job Description

• Ensure zero revenue shortfall for all projects.
• Provide input and support to sales team/BD in putting together business proposals, RFI, RFQ etc
• Help develop collaterals for the PRE AUTH team and co-ordinate with marketing team.
• Provides new ideas to the software team to help improve the PRE AUTH process. Help develop workflow, new products for the PRE AUTH team.
• Learn and implement new client systems. Co-ordinate and organize training for new

joiners as well as for existing members of the team based on the projects requirement.

• Manage risk/issues. Escalation of key issues to customers /Client service manager.
• Interaction with the clients & taking feedback from clients and

formulating Strategies to meet the client’s specific needs and expectations.

• Identify training gaps in the team and develop a plan with dept. trainer for retraining sessions.
• Tracking and maintaining historic data of various reports including production, quality,

Collection’s report, Operations report & other documentations etc.

• Develop processes to improve productivity and quality of the team.
• Monitoring and managing workflow or daily targets to assure timely

delivery of agreed SLA’s.

• Be customer focused and always look for value additions in the process.
• Should have good people management skills to manage large teams.
• Compiles and distributes PRE AUTH focus reports to the Delivery council, Weekly and as needed.
• Works with the Operations Head to identify trends or patterns delaying Pre Auth approvals and then coordinates measures for process improvement.
• Assists in interviewing Pre Auth staff.
• Performs other tasks as assigned.
• Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.

Mandatory Requirement: -

• To work in night shift only.
• Multiple locations activity.

  Role & responsibilities

Preferred candidate profile