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4.0 - 7.0 years
7 - 7 Lacs
Navi Mumbai
Work from Office
We have an opportunity for the role of Team Manager in RCM, the details of which are mentioned below: Designation: Team Manager (Auth/EVBV) No. of Openings: Pre-Auth Team Manager - 4 EVBV Team Manager - 4 Experience: 4+ years Location: Navi Mumbai (Airoli) Skills Required: Work experience of 4+ years in the RCM (in functions like Prior Authorization/EVBV) of a US Healthcare Setup Experience in managing teams of 20+ executives Experienced in setting & measuring team targets, basic people management & leadership skills Graduate in any stream Responsibilities: 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. If interested, please share your updated CV on shivani.tripathi@ikshealth.com
Posted 1 week ago
1 - 4 years
0 - 0 Lacs
Hyderabad
Work from Office
Role & responsibilities Experience in Eligibility Verification. End to end RCM (Revenue Cycle Management) or Revenue Cycle management. Preferred candidate profile Bachelor/master's degree is mandatory. Flexibility with shift timings. Looking for Immediate Joiners. In Case if you are interetsed please share your cv to below email id Saddla@primehealthcare.com
Posted 2 months ago
1 - 4 years
0 - 0 Lacs
Hyderabad
Work from Office
Role & responsibilities Experience in Eligibility Verification. End to end RCM (Revenue Cycle Management) or Revenue Cycle management. Preferred candidate profile Bachelor/master's degree is mandatory. Flexibility with shift timings. Looking for Immediate Joiners. In Case if you are interetsed please share your cv to below email id Saddla@primehealthcare.com
Posted 3 months ago
1 - 5 years
2 - 4 Lacs
Navi Mumbai
Work from Office
Hi Folks, We are hiring Eligibility Verification and Benefits Verification Associates in IKS Health. Job Requirements- Any graduate/post graduates Location- Airoli, Navi Mumbai (WFO Only) Shift type- night shift (Any 9 hrs shift from 5.30 pm to 5.30 am) Salary- based on company standards Need good communication skills Need provider side experience Home pick and drop facility available within Mumbai Role & Responsibilities for EVBV: Responsible for reaching out to the payor to check on the insurance eligibility and the benefits of the patient Addressing the claims to insurance or Self Pay (Patient Attention) based on the eligibility identified Responsible for achieving the defined TAT on deliverables with the agreed Quality benchmark score. Responsible for analyzing an account and taking the correct action. Ensuring that every action to be taken should be resolution oriented whilst working on the specific task/case assigned. Task claims to appropriate teams where a specific department within IKS, or clients assistance is required to resolve them. If you are interested then send your resume to us. Contact Number - 8108789780 (HR Muskan Shaikh) 8879583401 (HR Harshal Mhatre) 9820456406 (HR Arjun Mulangatt) 9076020601 (HR Jyoti )
Posted 3 months ago
5 - 10 years
6 - 8 Lacs
Navi Mumbai
Work from Office
Key Responsibilities Responsible for New Hire Training for all levels hired (Agents to Supervisors) Conduct training in preprocess, process and systems to help employees perform their job effectively and efficiently Is required to be upto date will all changes in the eco system (US Healthcare, Compliance, Payor guidelines, Specialty guidelines) Will be responsible for the new employee performance till the end of OJT (On the job training) Accountable for meeting the training metrics like yield, Speed to proficiency etc. Identification of ongoing training needs and conduct the required training to Support Ops team meet the client SLAs Is required to create / modify / update the content for all training needs (New hire, ongoing, supervisor) Should be able to identify upskilling requirement and initiate content creation either for ILT (Instructor Led Training) or E Learning Being the custodian of all knowledge requirements, will be actively participating in all transition activities Will be the client interface for all knowledge related discussions and should be able to gain a consultant position Should be well versed in SOP creation, documentation, preparing process flows Desired Candidate Profile Required Qualifications Graduate/Post-Graduation in any discipline Should have minimum 5 years of experience in Revenue Cycle management especially Prior Authorization and EVBV Should understand the entire life cycle of a claim from Provider, Payor and Patient side to be able to identify gaps and set up training sessions Excellent written and oral communication skills TTT ( Train The Trainer ) certification is preferred Understand the concepts for creating E Leaning modules Must have working knowledge of MS office / similar tools Should be willing to work in shifts and travel within India for short/extended periods If interested, please share your updated resume on shivani.tripathi@ikshealth.com
Posted 3 months ago
7 - 12 years
8 - 10 Lacs
Navi Mumbai, Hyderabad
Work from Office
Qualifications / Eligibility : Graduate in any discipline US Healthcare background with Experience into Revenue Cycle Management preferred with expertise in at least two functions (AR, Eligibility and Benefits Verification, Authorization, Payment Postings, Billing) Trained / Certified Lean Six Sigma Green Belt / Black Belt Minimum 2 years in the team management role Working knowledge of 7 QC tools and FMEA / Risk assessment Roles and Responsibilities: Manage a team of 15-18 Quality Experts Enable business to deliver high quality and faster outcomes and maintain the quality SLAs Adhere to quality framework and ensure timely completion of audits, reports and analysis Identify and lead Lead Lean Six Sigma / Continuous Improvement projects Drive Ideation to invite potential ideas for improvement Help team achieve core deliverables (PKTs, Audits, Team Meetings, etc) Drive internal and client calibrations Manitan and present / discuss process and business performance dashboard with internal and external stakeholders including but not limited to senior management Perform end to end business diagnostic analysis to dissect to identify potential risks, gaps and areas of improvement Work with cross functions (Operation, Training and others) to make action plans and drive the same to achieve better results Plan and coordinate for resource planning and QA framework execution Initiate and execute remediation plans resulting in better business performance Key Skills: Effective Coaching and feedback skills Ability to identify, analyze opportunities in End to End Process, propose improvement actions and execute as required Ability to analyze data / information and derive insights Strong report management skills Skills in numerical and statistical analysis
Posted 3 months ago
5 - 9 years
6 - 7 Lacs
Navi Mumbai
Work from Office
We have openings for the Team Manager position, the details of which are given below: Position : Team Manager (EVBV) Experience : 5+ years Location : Airoli, Navi Mumbai No. of Openings : 5 Job Responsibilities: Team Management: Help manage team work life balance through efforts on leave planning and rostering. cts) 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. Operations & Delivery: 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 instruction 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. Compliance: 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. Mandatory Requirements : Graduation in any stream Work experience of 5+ years in RCM with relevant experience in the Eligibility Verification functions of a US Healthcare Setup 3+ years of experience in managing teams of 20+ executives Experience in setting & measuring team targets, basic people management & leadership skills If interested, kindly email your updated resume to shivani.tripathi@ikshealth.com
Posted 3 months ago
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