Healthcare Manager

Job Summary:

We are seeking a highly motivated and experienced Healthcare Manager to lead and manage teams handling Voice-based patient/provider support and Accounts Receivable (AR) follow-up processes. The ideal candidate will have strong expertise in US healthcare RCM, excellent leadership skills, and a proven track record in driving operational excellence in both inbound/outbound voice processes and AR resolution.

Key Responsibilities:1. Team Management:

• Lead, manage, and mentor teams handling both voice-based processes (patient/provider calls) and AR follow-up.
• Ensure staffing, training, performance management, and retention of team members.
• Drive KPIs such as call quality, resolution rate, AR aging, collections, and team productivity.

2. AR Process Oversight:

• Monitor and optimize the AR follow-up process for US healthcare clients (insurance follow-up, denial management, payment posting insights).
• Ensure timely follow-up with payers for unpaid/underpaid claims.
• Analyze trends in denials and work with internal teams to reduce rejections.

3. Voice Process Oversight:

• Manage inbound and outbound calls related to patient inquiries, insurance verification, provider coordination, etc.
• Ensure quality and compliance with HIPAA and client-specific guidelines.
• Monitor call audits, quality scores, and provide coaching for improvement.

4. Client and Stakeholder Management:

• Serve as a point of contact for client escalations and operational updates.
• Participate in client calls, business reviews, and performance reports.
• Collaborate with quality, training, and compliance teams to meet SLA targets.

5. Reporting & Analysis:

• Prepare daily/weekly/monthly dashboards and reports related to AR and voice operations.
• Analyze data to identify performance gaps, improvement opportunities, and process optimization.

Required Skills and Qualifications:

• Bachelor’s degree or equivalent; certification in RCM or Healthcare Administration is a plus.
• 5+ years of experience in US healthcare BPO industry, with at least 2 years in a managerial capacity.
• Strong understanding of RCM lifecycle, especially AR follow-up and denial management.
• Experience handling healthcare voice processes – inbound and outbound.
• Excellent communication, leadership, and stakeholder management skills.
• Knowledge of tools like Athena, EPIC, Kareo, or other EHR/PM systems is desirable.
• Proficient in MS Excel, reporting tools, and quality metrics.

Preferred:

• Familiarity with HIPAA compliance and PHI handling.
• Prior experience managing multi-process teams (voice + non-voice).
• Six Sigma or Lean certification (preferred but not mandatory).

Job Types: Full-time, Permanent

Pay: ₹55,000.00 - ₹125,000.00 per month

Benefits:

• Health insurance
• Provident Fund

Work Location: In person