Associate Operations Manager @ R1 RCM

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Associate Operations Manager

R1 RCM
3 - 6 years
Hyderabad
3 months ago
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Job Description

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 issues and to put plans in place for improvement
Analyze data to identify payer issues & challenges and fixes
Should work towards team engagement and retention/absenteeism
Will be responsible to lead internal and external calls.
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 management.
Must operate utilizing aggressive operating metrics.

Skill Set

Candidate should be good in Denial Management
Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials
Good domain knowledge
Ability to interact positively with team members, peer group and seniors.
Demonstrated ability to exceed performance targets
Ability to effectively prioritize individual and team responsibilities
Communicates well in front of groups, both large and small.

Qualifications

Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MCA, B.Tech & Freshers')
Good analytical skills and proficiency with MS Word, Excel and PowerPoint (Typing speed of 30 WPM)
Good communication Skills (both written & verbal)

Job Classification

Industry: BPM / BPO
Functional Area / Department: Customer Success, Service & Operations
Role Category: Operations
Role: Operations Manager
Employement Type: Freshers

Contact Details:

Company: R1 RCM
Location(s): Hyderabad

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Keyskills: operations management production icd denial management performance management cpt us healthcare claims adjudication claims processing payment posting medical coding ar calling medical billing cost management rcm retention revenue cycle management

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Functional area / Department (*):

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R1 RCM

If anyone interested please ping me on watsapp Akanksha 9691664620 or call me. If I'll be not available to response your call please watsapp me. Thanks and regards Akanksha 9691664620 akanksha.t@maintec.in

Associate Operations Manager @ R1 RCM

Home > Operations