Manager - RCM

Skills:

• Experience in RCM and healthcare an US Medical Billing company.
• Excellent team leading capability, open to direction and collaborative work style and commitment to get the job done.
• Experience managing the entire spectrum of Operations, Customer Service Delivery, Customer Relationship Management, Client Servicing, Training & Development, Team Management for both Payer & Provider-RCM in U.S. Healthcare BPO Space.
• Knowledge of entire BPO operations ranging from ensuring SLAs, SOP's, Local work instructions, Process flows, Team Forecasting, Workforce Analysis, Basic Matrix Reporting, Recruitment, Seat Utilization, Training and meeting the quality standards.
• Proven experience as Manager/Sr Manager or similar position.
• Experience with recruiting and performance evaluation processes.
• Familiarity with financial and customer service principles.
• Good math skills with the ability to create and analyze reports, spreadsheets and sales statistics.
• Proficient user of MS Office (MS Excel in particular).
• Leadership and organizational abilities.
• Interpersonal and communication skills.
• Problem-solving attitude.
• Flexibility to work in Shift.

Job Responsibilities

• Prompt response to requests for information, both internally and externally initiates and maintains direct contact with CHMB clients, engaged in proactive resolution of issues and timely response to questions and concerns.
• Clearly documents issues and resolution, as well as documents AR issues/status for client presentation.
• Participates in client workgroups, if needed, to address issues.
• Maintains a schedule of client meetings either monthly or quarterly depending on the size and scope of client.
• Professionally interacts with clients and patient to resolve questions and concerns.
• Delivers timely required reports to the Director of Operations; initiates and communicates the resolution of issues, such as payer denial trends, collections accounts, inaccurate or incorrect charges, vendor input and implementation.
• Identifies and provides timely resolution of process issues.
• Track clients AR productivity (charge, payments, collections, adjustments) on a daily, weekly and/or monthly basis as needed to ensure the client and company expectations are met.
• Provide training and mentoring to staff; ensure standard operating procedures (SOP) are followed and improvements occur.
• Stay current with companys policies and procedures regarding AR activity such as, reviewing month end reports to guarantee the AR is below 20% over 90 days, identifying trends.
• Analyze reports to determine when, how and why decrease in clients AR; includes denials, unbilled, credit issues; holds; communicate with client and staff to resolve.
• Review work performed by outside vendors for accuracy and production.
• Hires, retains mentors and manages staff to achieve organizational goals.
• Meets regularly with staff; in-person and as a group to confirm the status of client accounts, effectively prioritize AR activities for staff holding them accountable for work performed.
• Provides support, training and oversight to build and enhance team to meet current and future business needs supporting our clients.
• Analyze and address staff performance, conduct and other problems in a timely and professional manner, offering counseling, correction and discipline as appropriate.
• Performs period reviews to mentor and give constructive feedback to improve performance.
• Handle and manage internal staffing issues regarding daily matters, including but not limited to such items as timekeeping, coverage, workflow, and training.
• Achieve goals set forth by supervisor, CHMB and compliance requirements.
• Other duties as assigned.