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R1 RCM
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Senior Program Manager

Senior Program Manager

Name: Jobpe
Address: T-Hub, Plot No 1/C, Sy No 83/1, Raidurgam panmaktha, Knowledge City Rd, Hyderabad, Telangana, 500081, IN
Telephone: +91-83339-09630
Price range: Free

R1 RCM

1 - 3 years

13 - 18 Lacs

Gurugram

Posted:1 hour ago| Platform:

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Skills Required

us healthcare program management denial management drg rcm hipaa ip drg icd ccs mis cpc medical billing ed pcs project management cpt ip patient care root cause analysis hcpcs estimation medical coding icd-10-cm revenue cycle management statistics

Work Mode

Work from Office

Job Type

Full Time

Job Description

R1 RCM is a leading provider of revenue cycle services and physician advisory services to healthcare providers. We help transform and manage the commercial infrastructure of care organizations. About the role Needs to work closely and communicate effectively with internal and external stakeholders in an ever-changing, rapid growth environment with tight deadlines. This role involves designing and analyzing the healthcare reimbursement model . Be able take up new initiatives, maintain synchrony in the team. Collaborate with external & internal stakeholders, work effectively in a growing team, be a strong team player. Be able to create and define SOPs, TATs for ongoing and upcoming projects. What you will do

To design, analyze and maintain healthcare reimbursement models to ensure the revenue estimation is in-line with the contracts.

To perform various analytical reviews and deep-dives (root cause analysis) on clie nt-specific healthcare reimbursement methodology to ensure accuracy of revenue projections and actual collections.

To report/highlight the exceptions in reimbursement method by building contract models for Hospital charges

To effectively communicate the findings/ observations with recommended action to US team/clients.

Maintain MIS related to analysis , Accuracy and coverage report for maintenance databases

Handling client calls and communicating effectively for task deliverables and site maintenance

What will you need

Graduate degree Preferabl y in Statistics\ Mathematics \ Economics\ Commerce\Finance from a reputed educational institute

Good analytical and algorithm building skills , having experience to build contract models for hospital charges to calculate expected reimbursement

Skills to read, understand and interpret reimbursement contracts between hospitals and insurance providers.

Experience/knowledge of various US healthcare reimbursement methods like MS DRG weightage, Multipliers, % of charges, outliers, Grouper fee schedule etc.

Good Communication Skills (both written & verbal)

Preferable - 1-3 years of experience in US healthcare

Having good knowledge about RCM cycle and denial management

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.comVisit us on Facebook

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R1 RCM

Healthcare Revenue Cycle Management

Naperville

Over 4,000 Employees

332 Jobs

Key People

Joe Flanagan

CEO
Cynthia Chmielewski

CFO
John D. Kelly

Chief Technology Officer

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Senior Program Manager