Needs to work closely and communicate effectively with internal and external stakeholders. Be able take up continuous improvement ideas, initiatives, managing team and MIS reporting, maintain synchrony in the team. Be able to create and define SOP's, TATs for ongoing and upcoming projects.
Responsibilities
Members should be able to manage a team of associates to lead associate/SME level independently.
Revenue Analytics to identify additional reimbursement opportunities in revenue cycle management of US Healthcare.
Prevention of revenue leakage in Hospital/Physician business. Strong knowledge of end-to-end revenue cycle management to be able to do analytics in each area.
Well versed knowledge of Contract Model, Expected Reimbursement methodologies, Underpayment/Payment variance analysis, Denial Analytics, Revenue Capture Ideas, Appeal Follow up with insurance.
Meet required benchmarks for production, accuracy, and efficiency.
Able to control Shrinkage and Attrition of team members.
Regular connect with Team members, performance metrics, incentive discussion and team engagement activities/Professional growth.
Clearly communicate the goal to employees.
Create a positive and inclusive work environment.
Bring out the best from the employees to ensure they are making progress.
Set appropriate deadlines and assign right individuals for each task as required skills.
To effectively communicate the findings/ observations with recommended action to US team
To manage daily huddles, challenges, any conflicts within team or with external team members
To manage work allocation, inventory management and TNI for quality feedback
Maintaining proper data for weekly, monthly, and quarterly reporting and evaluation for predictive analysis and reporting in effective Dashboards.
Effectively involves new transitions and trainings to new joiners and upgrades the skill set of existing members as per process requirements.
Requirements
Graduate in any discipline from a recognized university/college with a good academic track record.
Knowledge of Basic SQL, MS Excel, Power Point
Excellent communication Skills (both written & verbal)
Working closely and communicating effectively with internal and external stakeholders in an ever-changing, rapid growth environment with tight deadlines.
Minimum 5 years of experience in US health care and 2 years' experience in leading process at TL/AM level.
Strong analytical skills with emphasis on complex equations
Understanding advanced technology that helps to improve process efficiency.
Flexible to work in 24*7 environment.
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.
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Benefits
Health insuranceFlexible schedule
Additional Information
R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.
With over 30,000 employees globally and a robust presence in India, comprising over 17,000 employees across Delhi NCR, Hyderabad, Bangalore, and Chennai, we foster an inclusive culture where every team member feels valued and empowered. Our mission is to transform the healthcare industry by driving efficiency for healthcare systems, hospitals, and physician practices, continuously striving to make healthcare work better for everyone.
R1rcm · Hyderabad, India