Job Description

Assistant Manager RCM Operations

Prepare reports, trackers, presentation on the ongoing projects on weekly basis to share Edit with Clients
Strategic Planning implementation of resolution after concerns are escalated to clients for process improvement
Communicate with Client to ensure highest quality parameters are achieved while delivering estimated goals leading to Customer Satisfaction
Drive high level of employee engagement (include Daily, weekly, monthly team connects) to enable high retention and satisfaction rate
To monitor AR Backlog, AR Metrics improvement priorities in the 90+/180+ categories

Required Skills

• Graduate in any discipline
• Candidate should be willing to work from Chennai location - Work from office
• 7-9 Years of experience in US Healthcare RCM (AR process), with 1-2 years of minimum experience as Team lead/Associate Team Lead/ Process lead
• Hands-on experience in AR & Denials management- ability to resolve complex denials.
• Daily SLA achievement & metric tracking- productivity, quality, TAT, aging, DSO
• Must have a thorough understanding of Provider claim life cycle.
• Time Management Skills Decision-making skills
• Proficiency in MS Excel, Power point - VLOOKUP, pivot tables, dashboards, reporting.
• Must have thorough knowledge of major insurance payers.
• Ability to build consensus and relationships among managers and team members.
• Must have thorough knowledge of common denials.
• Must know standard practices of RCM.
• Must have thorough knowledge of common CPT codes, transaction codes and reason codes.

Management