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1.0 - 6.0 years
3 - 7 Lacs
chennai
Work from Office
Role Objective: The role objective of an Outpatient Coding (ED profee & Facility, Multispecialty EM, Ancillary etc.) Associate Operations Manager is to oversee and ensure accurate coding of Outpatient Facility medical records, maintain compliance with coding guidelines and regulatory requirements, and provide guidance and support to the coding team to achieve operational efficiency and quality standards. Essential Duties and Responsibilities: As a Team Leader: Leading and managing the Surgery coding team, including allocating inventory, monitoring performance, and ensuring adherence to deadlines. Quality Assurance: Performing coding audits to ensure accuracy, compliance with coding standards...
Posted 1 week ago
4.0 - 8.0 years
4 - 9 Lacs
hyderabad
Work from Office
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. a) Day-to-day operations b) People Management (Work Allocation, On job support, Feedback & Team building) c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) d) Reports (Internal and Client performance reports) e) Work allocation strategy f) CMS 1500 & UB0...
Posted 1 week ago
3.0 - 6.0 years
3 - 7 Lacs
bengaluru
Work from Office
Reports to (level of category) : Manager - Operations Role Objective AR is the most essential part in the RCM cycle. It is usually the last step. After Denial management (AR), 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. Should be able to manage a team of 25-30 FTEs FTEs will be directly reporting to AM Will be responsible to resolve queries, account reviews and provide training in case required Drive production and quality to the expected level Responsible to identify production and quality issu...
Posted 1 week ago
5.0 - 10.0 years
22 - 25 Lacs
hyderabad
Work from Office
Driving Company Values & Vision: As Part of the Senior Leadership team need to make sure complete span is aligned with the end goals and values of the organization. Leadership/Coaching: Provides overall leadership to teams and day-to-day leadership to all DR and Non DRs but which in the span. Coach teams to be able to identify inquiries which are beyond scope of authority and take appropriate actions. Inspire all DRs to focus on adherence to policies and processes, Fosters a positive work environment. Develops and maintains productive working relationship with Sr. Manager & Ops Managers, setting a positive example for their working relationships with their teams Career Development/Performanc...
Posted 1 week ago
6.0 - 11.0 years
3 - 7 Lacs
hyderabad
Work from Office
Role Objective : To manage and oversee the effective delivery of training programs, ensuring alignment with operational requirements and driving continuous improvement in quality and efficiency . Essential Duties and Responsibilities: Manage effective training delivery as per the operational requirements. Work in new project transitions along with operations to design the onboarding and training workflows as required. Publish quality trends analysis and ensure the delivery of timely webinars based on mitigation plans designed to improve quality for inpatient/outpatient work groups. Possess multi-dimensional/multi-specialty coding awareness to effectively address varied customer requirements....
Posted 1 week ago
1.0 - 6.0 years
3 - 7 Lacs
chennai
Work from Office
Designation : Associate Operations Manager Role Objective: The role objective of a Surgery Coding Associate Operations Manager is to oversee and ensure accurate coding of surgery medical records, maintain compliance with coding guidelines and regulatory requirements, and provide guidance and support to the coding team to achieve operational efficiency and quality standards. Essential Duties and Responsibilities: As a Team Leader: Leading and managing the Surgery coding team, including allocating inventory, monitoring performance, and ensuring adherence to deadlines. Quality Assurance: Performing coding audits to ensure accuracy, compliance with coding standards (e.g., ICD-10-CM and CPT), and...
Posted 1 week ago
4.0 - 8.0 years
4 - 9 Lacs
gurugram
Work from Office
Designation : Operations Manager Location: Sec-21 GGN 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. a) Day-to-day operations b) People Management (Work Allocation, On job support, Feedback & Team building) c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) d) Reports (Internal and Client performance ...
Posted 1 week ago
4.0 - 8.0 years
4 - 9 Lacs
chennai
Work from Office
Designation : Operations Manager Medical Coding (Inpatient) Role Objective: To Maintain and improve the efficiency and effectiveness of the Team and drive the Business Operations without any challenges Essential Duties and Responsibilities: Ability to co-ordinate multiple projects and initiative simultaneously Ability to drive action plans and strategies Ability to meet Client SLA Deliverables Addressing performance issues and implementing corrective actions Assigning coding tasks and monitoring workload distribution Certification: CIC/CCS (AAPC & AHIMA) Skill Set: Good analytical and process improvement skills. Self-driven, Excellent personal and interpersonal skills, active listener, and e...
Posted 1 week ago
3.0 - 6.0 years
3 - 7 Lacs
hyderabad
Work from Office
Reports to (level of category) : Manager - Operations Role Objective AR is the most essential part in the RCM cycle. It is usually the last step. After Denial management (AR), 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. Should be able to manage a team of 25-30 FTEs FTEs will be directly reporting to AM Will be responsible to resolve queries, account reviews and provide training in case required Drive production and quality to the expected level Responsible to identify production and quality issu...
Posted 1 week ago
1.0 - 6.0 years
2 - 6 Lacs
chennai
Work from Office
Role Objective: The role objective of a Outpatient Coding (HCC Coding) Assistant Operations Manager is to oversee and ensure accurate coding of Outpatient Facility medical records, maintain compliance with coding guidelines and regulatory requirements, and provide guidance and support to the coding team to achieve operational efficiency and quality standards. Essential Duties and Responsibilities: As a Team Leader: Leading and managing the HCC coding team, including allocating inventory, monitoring performance, and ensuring adherence to deadlines. Quality Assurance: Performing coding audits to ensure accuracy, compliance with coding standards (e.g., ICD-10-CM and CPT), and adherence to regul...
Posted 1 week ago
6.0 - 10.0 years
6 - 11 Lacs
hyderabad
Work from Office
R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by...
Posted 1 week ago
3.0 - 6.0 years
3 - 7 Lacs
chennai
Work from Office
Designation: Assistant Operations Manager Reports to (level of category): Manager - Operations Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cashposting. 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. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis Need to ...
Posted 1 week ago
3.0 - 6.0 years
2 - 6 Lacs
hyderabad
Work from Office
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. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost ma...
Posted 1 week ago
3.0 - 6.0 years
3 - 7 Lacs
gurugram
Work from Office
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.Manages people and drives retention.Analysis data to identify process gaps, prepare reports. Performance managementFirst level of escalationWork in all shifts on a rotational basisNeed to be cost efficient with regards to processes, resource utilization and overall constant cost manag...
Posted 1 week ago
3.0 - 6.0 years
3 - 7 Lacs
hyderabad
Work from Office
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. Manages people and drives retention. Analysis data to identify process gaps, prepare reports. Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost...
Posted 1 week ago
1.0 - 4.0 years
3 - 6 Lacs
hyderabad
Work from Office
Role Objective: The accounts receivable follow-up team in a healthcare organization is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies. Essential Duties and Responsibilities: Follow up with the payer to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Should have sound knowledge of working on Billing scrubbers and making edits. Work on Contractual adjustments & write off projects. Should have good Cash collected/Resolution Rate. should have calling skills, probing skills and denials understanding. Work in all shifts on a rotational basi...
Posted 1 week ago
4.0 - 8.0 years
4 - 9 Lacs
hyderabad
Work from Office
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. Day-to-day operations People Management (Work Allocation, On job support, Feedback & Team building) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) Reports (Internal and Client performance reports) Work allocation strategy CMS 1500 & UB04 AR experience is...
Posted 1 week ago
15.0 - 20.0 years
25 - 30 Lacs
noida, gurugram
Work from Office
Key duties & Responsibilities: -The Candidate will head a span in the range of ~1000 FTEs. The span can vary depending upon process complexity, future growth, and stage of business.- Be the point of contact for all critical/strategic projects across Backend Operations in India .- Identify and lead projects of high impact within the business to improve MIS, Quality, and other operational efficiency/productivity projects.- Manage Day to Day Operations by applying appropriate contractual provisions (scope of work), following quality & compliance guidelines, and leveraging expert resources.- P&L knowledge and management by keeping close watch on LLR.- Client relationship management & manage deli...
Posted 1 week ago
7.0 - 12.0 years
4 - 9 Lacs
chennai
Work from Office
Role Objective: Complete oversight of Operations, Training and Compliance for the aligned AR Follow up teams. Essential Duties and Responsibilities: Should have overall 7+ years of experience in RCM Operations Manage the AR inventory for aligned clients. Work towards resolution to reduce the aged AR and accelerate Collections. Driving results to achieve business metrics. Ensuring timely delivery of projects/assigned reports. Self-driven, People leader and result oriented. Engage the team create IDPs and groom them for growth opportunities. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Identify and Implement automation/performance improvement strategies. Manage a...
Posted 1 week ago
4.0 - 8.0 years
4 - 9 Lacs
gurugram
Work from Office
Reports to (level of category) : Senior Operations Manager 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. a) Day-to-day operations b) People Management (Work Allocation, On job support, Feedback & Team building) c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) d) Reports (Internal and Client perform...
Posted 1 week ago
3.0 - 6.0 years
2 - 6 Lacs
hyderabad
Work from Office
We are looking for a skilled professional to join our team as an Assistant Operations Manager in R1 RCM Global Private Limited, located in [location to be specified]. Roles and Responsibility Manage and oversee daily operations to ensure efficiency and productivity. Develop and implement process improvements to increase customer satisfaction and reduce costs. Collaborate with cross-functional teams to achieve business objectives. Analyze operational data to identify trends and areas for improvement. Implement and maintain quality control measures to ensure high standards. Lead and motivate a team of operations professionals to achieve their goals. Job Requirements Proven experience in operat...
Posted 1 week ago
3.0 - 6.0 years
2 - 6 Lacs
noida
Work from Office
R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by...
Posted 1 week ago
13.0 - 18.0 years
17 - 22 Lacs
navi mumbai
Work from Office
About The Role Skill required: Employee Services - Employee Data Process Design Designation: Delivery Lead Manager Qualifications: Any Graduation Years of Experience: 13 to 18 years What would you do? . Improve workforce performance and productivity, boosts business agility, increases revenue and reduces costs 2. Account Management and HR Processes - Accountable for Account talent management and development - Develop and implement a clear demand logging process for the account - Be the focal point in coordinating the demands coming from the respective projects within the account - Works closely with the various demand fulfilment channels (internal DTEs, contractor exchange, Delivery Centers,...
Posted 1 week ago
4.0 - 8.0 years
6 - 10 Lacs
chennai
Work from Office
Role Objective: Manage AR, Denials and Appeal follow up operations team. Essential Duties and Responsibilities: Should have the ability to manage an operations team of 100+ FTEs. Should have the ability to manage multiple provider/hospital sites. Should have the ability to coordinate and proactively communicate with domestic counterparts and leaders. Should have excellent analytical and decision-making skills. Should have strong communication, interpersonal, and presentation skills. Candidate should be self-driven, with leadership abilities and a results-oriented approach. Should be able to identify and implement strategies for process improvement. Should have experience in inter-departmenta...
Posted 1 week ago
3.0 - 6.0 years
2 - 6 Lacs
gurugram
Work from Office
Role Objective: To directly supervise and motivate a team of frontline employees, ensuring day-to-day operations run smoothly, meet performance targets, maintain quality standards, and effectively communicate company goals while fostering a positive work environment and addressing challenges at the operational level, acting as a bridge between management and the workforce. Essential Duties and Responsibilities: Great with Healthcare knowledge Should be aware of all type of payers. Must have good understanding of payer portal for benefits & denials. Should have people centric mindset to manage team Should have verbal and written communication skills, probing skills and denials understanding W...
Posted 1 week ago
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