Supervisor, AR

Your Role:

• Play a critical leadership role in ensuring day-to-day operations are running smoothly, productivity targets are met, a high level of customer service is delivered, and overall service delivery is consistently maintained at the highest standards while ensuring ModMeds billing and compliance processes and Standard Operating Procedures (SOPs) are followed.
• Conduct quality assurance reviews of daily work to ensure high quality is maintained across all processes.
• Help the team to prioritize their work and understand the critical importance of following SOPs and communicating challenges and findings to their supervisor in a timely manner.
• Inform leadership of critical findings impacting RCM performance and recommend solutions to improve outcomes.
• Work closely with the internal and external teams ensuring challenges and findings raised by analysts are documented, actioned upon, and converted to wins within set timelines.
• Collaborate with onshore and offshore training teams to create and deliver vertical-focused knowledge to team members.
• Review the Practice KPI Trends and work with the team to identify and resolve issues promptly and thoroughly.
• Partner with onshore and offshore teams on creating and implementing processes and procedures for identifying and permanently resolving quality concerns and plans of action (POA) for client escalations.
• Work with onshore vertical teams on standardizing the processes and practice instructions.
• Development and delivery of routine reports required to monitor and report on the teams performance and provide customer feedback.
• Participate in process improvement discussions and help ensure necessary conversion to SOPs.
• Directly engaging in problem-solving on production-related issues with team members, as required.
• Work with onshore coordinators to resolve any open issues impacting performance and quality.
• Perform additional projects and job duties as assigned

Skills Requirements:

• Must have strong, hands-on knowledge of AR within Physician RCM of US Healthcare.
• 7+ years of related working experience in core Provider RCM, out of which a minimum of 2 years as a Lead Operations managing a team of 10-20 FTEs.
• Strong knowledge of workflows and procedures within specialties such as Dermatology, Gastro, Orthopedics, Podiatry, Ophthalmology, ENT, etc., is a big plus.
• Adept at developing and analyzing various KPIs/other trends while running reports from various sources.
• Exceptional written, verbal, and interpersonal communication skills required; working closely within a collaborative environment having multiple onshore and offshore teams.
• Strong understanding of various insurance carriers, including Federals, HMOs, PPOs, Capitation and Workers Comp
• Advanced Excel skills such as the ability to use formulas to analyze data, create and format pivot tables and templates, use and conditional formatting and validation functions. Able to create visualizations of data through charts, graphs, and PPTs using MS Office and other tools.
• A preferred Six Sigma specialist who has participated in process and quality improvement projects is preferred.
• Proven experience and commitment to actively promoting a positive work environment and developing an employee-focused, supportive workplace aligning to ModMeds culture.
• Must be committed to developing expertise in respective ModMed products (PM or gPM) within three months of employment.