Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and 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 enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30, 000 employees globally, we are about 17, 000+ strong in India with presence 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.
Designation : Operations Manager
Location: Hyderabad
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.
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 mandatory.
Span of control - 80 to 100
Thorough knowledge of all AR scenarios and Denials
Expertise in both Federal and Commercial payor mix
Excellent interpersonal skills
Should be capable to interact with US clients and manage escalations
Qualifications
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Graduate in any discipline from a recognized educational institute
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Good analytical skills and proficiency with MS Word, Excel and PowerPoint
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Good communication Skills (both written verbal)
Skill Set
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Candidate should be good in Denial Management
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Candidate should have knowledge of Medicare, Medicaid ICD CPT codes used on Denials.
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Ability to interact positively with team members, peer group and seniors.
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Demonstrated ability to exceed performance targets.
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Ability to effectively prioritize individual and team responsibilities.
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Communicates well in front of groups, both large and small.
