Job
Description
Optum is hiring Training Supervisor - RCM (Hospital Billing), Chennai/Hyderbad/Noida/Gurgaon Please find below details of the same Successful implementation and management of the training departmentTraining fresher, existing and experienced colleagues for all scope of work in backend business of RCMDelivering training programs to employees using a variety of methods, including classroom instruction, e-learning and on-the-job trainingReview training needs and performance monthly basis and perform focus group, conduct feedback and monitor progress of the batches till they become productive as 100%Bottom quartile managementPlan and implement an effective training curriculum, content and automationCollaborate with management to identify training needs (TNI/TNA) for all employeesRegular connects with ops, quality and training to enhance the training and identify the area of improvementMaintaining up-to-date knowledge of best practices in training and development and making recommendations for changes to training programs as requiredBe able to raise/track new hire process credentialsBe able to work on the accounts for the aligned process to have hands-on experience for better for experiential trainingLearn new / existing business as end to end and prepare / modifier the training curriculumBe able to align himself/herself with organization/ team / client culture and mission, vision and valueBe well equipped in handling in-person and virtual trainingComply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications:10+ years of experience in the US healthcare industry with experience in Hospital Billing8+ years of experience in healthcare revenue cycle management services, with understanding on upstream and downstreamWorked as AR representative and effectively implemented the experiential learning in the new hire batchesFamiliarity with insurance guidelines (Medicare, Medicaid, commercial payers) and their plansIn-depth knowledge of denial management and appeal writing for both administrative and clinical denialsExpertise in handling inpatient claims and understanding payment methodologies- DRG classifications, bundled payment models)Comprehensive knowledge of UB04 claim form component, including proper inpatient coding, revenue codes, procedure codes, and regulatory requirementIn-depth knowledge of Acute and Ambulatory specialties with understanding of associated diagnosis, procedure and denialsProficiency in understanding coding denials and code sets (ICD-10, CPT04, HCPCS) and understanding of medical recordDemonstrated ability to analyze AR claim as end to end and identify the root cause and faster resolutionDemonstrated ability to handle multiple geos- US/PR/PHL/INDProven solid analytical and problem-solving skillsProven excellent communication and leadership abilities
