Essential Duties and Responsibilities
- Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.
- Day-to-day operations
- People Management (Work Allocation, On job support, Feedback & Team building)
- Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP)
- Reports (Internal and Client performance reports)
- Work allocation strategy
- CMS 1500 & UB04 AR experience is mandatory.
- Span of control - 80 to 100
- Thorough knowledge of all AR scenarios and Denials
- Expertise in both Federal and Commercial payor mix
- Excellent interpersonal skills
- Should be capable to interact with US clients and manage escalations
Qualifications
- Graduate in any discipline from a recognized educational institute
- Good analytical skills and proficiency with MS Word, Excel and PowerPoint
- Good communication Skills (both written & verbal)
Skill Set
- Candidate should be good in Denial Management
- Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials.
- 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.
