Lead Associate

2 - 5 years

4 - 7 Lacs

Posted:22 hours ago| Platform: Naukri logo

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Work Mode

Work from Office

Job Type

Full Time

Job Description

R1 RCM India is proud to be a Great Place To Work Certified organization. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30, 000 employees globally, we are about 14, 000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities .

Role Objective

Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash-posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.

Essential Duties and Responsibilities

Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.

Analysis data to identify process gaps, prepare reports and share findings for Metrics improvement.

Able to interact independently with counterparts.

Project Management

Performance management

First level of escalation and able to end to end closure of highlighted issues

Work in all shifts on a rotational basis WFO only

Need to be cost efficient with regards to processes, resource utilization and overall constant cost management

Must operate utilizing aggressive operating metrics.

Qualifications

Graduate in any discipline from a recognized educational institute (Except B. Pharma, M. Pharma, Regular MBA, MCA B. Tech Freshers)

Good analytical skills and proficiency with MS Word, Excel and Powerpoint

Good communication Skills (both written verbal)


Skill Set

Candidate should be good in Denial Management

Candidate should have knowledge of Medicare, Medicaid ICD CPT codes used on Denials

Ability to interact positively with team members, peer group and seniors.

Subject matter expert in AR follows up

Good knowledge of SQL/Power BI/Excel

Demonstrated ability to exceed performance targets

Ability to effectively prioritize individual and team responsibilities

Communicates well in front of groups, both large and small.






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R1 RCM

Healthcare Revenue Cycle Management

Naperville

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