Designation/ Role: Director
Department: Pre-Authorization
Work Timing: Night Shift
Qualifications: Graduate (Any Stream)
Location: Shamshabad, Hyderabad
Skills required:
- 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.
- Skilled and accomplished in all aspects of the RCM industry knowledge.
- Excellent verbal and written communication skills.
- Demonstrated organizational skills, analytical abilities and problem-solving skills.
- Ability to manage projects to accomplish all with within internally and externally imposed deadlines.
- Flexibility to perform functions effectively in a multiple deadline, changing environment.
- 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:
14+ years of healthcare experience in RCM – AR / Pre-Auth.
Responsibilities:
- Owns the complete P&L for PRE AUTH process.
- Provide leadership and focus to the project teams. Responsible for the productivity, quality, regulatory compliance and overall performance of the projects.
- Helping the team in handling & resolution of work-related problems, understanding & interpretation of Issues and decision making.
- Resource planning: Ensuring optimum utilization of resources/capacity.
- 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 joiner’s as well as for existing members of the team based on the project’s 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.
- 20-25% travelling between locations.
Job Type: Full-time
Pay: ₹1,026,000.00 - ₹2,026,000.00 per year
Benefits:
- Cell phone reimbursement
- Flexible schedule
- Food provided
- Health insurance
- Internet reimbursement
- Leave encashment
- Life insurance
- Paid sick time
- Paid time off
- Provident Fund
Work Location: In person
