We are looking to hire Assistant Manager from US Healthcare Domain.
Roles And Responsibilities
- Develop an extensive working knowledge of the RCM Business.
- Understand the objectives behind client's actions and identify any obstacles they may face.
- Work closely to provide support and account management to resolve client issues effectively.
- Determine when an issue needs to be escalated to management for resolution.
- Engage with clients through various channels, including phone, email, live chat, Facebook, and an internal tasking system.
- Escalation and Risk Management
- Recognize tone, keywords, and signs to address client concerns proactively.
- Ensure accurate documentation of all client interactions.
- Follow up on client interactions as per procedures.
- Perform other duties as assigned by management, adhering to the dynamic needs of the department.
- Drive Process Quality
- Flag and address Severity 1 Incidents (Incidents with business value impact value).
- Assists with the development and implementation of RCM strategies, recommends process changes and improvement initiative to continuously improve the RCM process to maximize billing and collections.
- Leads the team on the day-to-day operations and ensures the deliverables defined in scope of work are met.
- Motivates the team to adhere to SOP, policies and comply to process metric benchmarks.
- Coordinate with supervisors and team leaders to ensure efficient claims submission and payment processes for multiple clients as per the SLA defined in the contract.
- Internal Audit of specified High value and High Risk claims with focus on Compliance and Revenue Optimization
- Do Root cause analysis of customer complaints and ensure the complaints are not repeated through awareness training, process re-engineering wherever needed.
- Compile and analyze data for billing errors and work on solutions to reduce billing errors.
- Responds to all telephonic and email queries from client and onsite team in a clear, concise and timely manner.
- Any other tasks related to Revenue optimization and billing.
- Would be working as a mediator between provider and AR/Billing Team.
Qualifications
- Proven experience in customer support or a similar role.
- Excellent problem-solving and analytical skills.
- Strong verbal and written communication abilities.
- Ability to work effectively in a team and independently.
- Familiarity with medical billing processes is a plus.
- Proficiency in using various communication platforms including live chat and social media.
- Commitment to providing high-quality support to enhance client satisfaction.
- 5 years of claims processing experience in Health insurance operations
- Proficient in Healthcare Revenue Cycle programs and Technology
Position Requirements
- Must be comfortable working the US business hours
Key Performance Indicators (KPIs)
Core KPIs
- Reduce overall Turn Around Time
- Increase productivity
- Client satisfaction Index
Additional KPIs
- Achieve 100% timely submission every month for assigned clients
- Analyze, control and implement actions to minimize or eliminate Revenue Leakage for the assigned clients/cluster.
Perks And Benefits
&bullet 5 days working
&bullet Both Side Cab
&bullet One Time Meal
&bullet Health Insurance Facility worth Rs 5 lac
