Healthcare Manager

sarainfotech

7 years

0 Lacs

coimbatore tamil nadu india

Posted:21 hours ago| Platform:

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Skills Required

healthcare management leadership billing processing communication analyze metrics drive automation efficiency compliance data security training mentoring resolve staffing forecasting verification coding epic kareo ehr flexibility lean sigma

Work Mode

On-site

Job Type

Full Time

Job Description

Job Summary:

US Healthcare Patient calling process Manager

Key Responsibilities:

Manage day-to-day operations of the US healthcare process (RCM, medical billing, claims processing, or payer services).
Lead and supervise a team of supervisors, team leads, and associates to ensure delivery of SLAs and KPIs.
Coordinate with clients and internal stakeholders to ensure effective communication and performance management.
Analyze performance metrics (productivity, quality, TAT, etc.) and implement corrective measures as needed.
Drive process improvements, automation opportunities, and cost-efficiency initiatives.
Ensure compliance with HIPAA, client-specific guidelines, and data security standards.
Conduct regular training, mentoring, and performance reviews of team members.
Prepare and present weekly/monthly business reviews (WBRs/MBRs) to leadership and clients.
Handle escalations and resolve operational challenges promptly.
Work with workforce management (WFM) and quality teams for staffing, forecasting, and audits.

Required Qualifications:

Bachelor’s degree in healthcare administration, business management, or related field. Master’s preferred.
7+ years of experience in US healthcare BPO industry with at least 3 years in a managerial role.
Hands-on experience in RCM processes such as eligibility verification, coding, charge entry, payment posting, AR follow-up, and denial management.
Strong leadership, client handling, and team management skills.
Familiarity with tools like Epic, Athena, Kareo, or other EHR/PM systems.
Excellent analytical, communication, and problem-solving skills.
Flexibility to work in different shifts (EST/PST overlap, if required).

Preferred Skills:

Knowledge of payer side processes (claims adjudication, benefits verification, utilization management).
Exposure to automation tools or Lean/Six Sigma methodologies.

Experience managing multi-client accounts in a BPO setup.

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