Urgent -RCM Manager Operations

Job Details

Level: Mid-Level Management

Job Location: Gurgaon

Position Type: Full Time

Job Shift: Morning / Night

Job Category: Middle Management

Job Summary

The Manager will provide growth and development expertise for the company and assist Executive Management on various aspects of managing day to day operations.

As Manager Operations, responsible for seamless take-over of projects from Transition phase and ensure flawless execution of services to Clients.

Ensure adherence to all standard operating processes, set high standards for quality and monitor effective service delivery to Clients.

Will lead, train, motivate and guide teams and ensure that work is fun for every team member.

All routine team management including scheduling, time off, leave, attrition, learning & development and reward & recognition will be the direct purview.

Responsible for managing the receipt and accounting of overall collections

Serve as an auditor to ensure that invoices are accurate and proper accounting procedures are followed.

Ensure all business activities are HIPAA compliant.

Physical Demands

Requires visual and auditory acuity adequate for frequent use of computers and occasional use of other office equipment. Ability to move through the Office to supervise employees and activities, to sit for long periods, and to perform desk, office, and administrative activities.

Mental Demands

Requires frequent and constant judgment, leadership, ability to make decisions and solve problems, detailed analytical ability, self-ownership. Requires English language skills for constant high-level written and interpersonal communications.

Position Competencies

• Values Fit: Demonstrates behaviors consistent with company culture - On Time, Zero Defect, SOPs, Self-Audit & Escalations
• Professional Maturity: Possessing the self-awareness to accept and implement developmental feedback without taking the feedback personally; Capable of preventing and resolving interpersonal conflicts.
• Accountable: Holds self-100% personally accountable to achieve results; Follows through on commitments. Quickly gains trust of teammates and customers; Has an attitude of ownership; personal alignment with company's vision and objectives.
• Achievement Orientation: The ability and sense of urgency to prioritize and act in a way that leads to getting the right work done.
• Collaborative: Ability to work well with others on projects and tasks, analyzes issues, and processes; Reaches out to peers, cooperates with supervisor, establishes collaborative relationships.
• Intellectual Agility: The ability to seek input, make connections, and recognize patterns that lead to effective decision-making and action.
• Self-Confidence/Resilience: The belief in oneself and ability to make the right decisions

Essential Job Functions

• Hardcore experience in the Revenue Cycle Management processes (US Healthcare) - preferably in an outcomes driven environment
• Managed a team of Medical Billing & Accounts Receivable executives in Medical Billing processes
• Develop, implement and maintain revenue cycle Standard Operating Procedures (SOPs)
• Improve the operational systems, processes and policies in support of the organization’s mission and values
• Support better management reporting, information flow management, business process and organizational planning
• Maintain effective written and oral communications with clients, employees and senior operations team
• Play a significant role in long-term planning, including an initiative geared towards operational excellence
• Prioritize work and deploy staff as required to ensure customer needs are met in regards to on-time delivery of services and quality of work
• Manage the recruiting and hiring process
• Identify and recruit new resources in a planned manner to ensure business continuity
• Work with Executive Management
• New service line assessment, planning and implementation
• Have on-site and remote process transition experience
• Ability to analyze and prepare reports and resolve issues relating to accounts receivables
• Manage day-to-day transactional operations and conflict resolution
• Ability to manage a multi-dimensional team
• Assist AR team with customer contact support regarding their receivables
• Capture and create charges, apply payments – checks / CC / wire transfers, work AR
• Protect organization's value by keeping information confidential
• Work with Team Leaders and Operational Leadership & make sure each Revenue Cycle delivery function (Charge Capture, AR, PP, Billing, etc.) is performed per the SOP
• Own the audit process for each clinic within the AR and other functions
• Run all process governance meetings
• Standardize Reviews across the dimensions of customer, people and financial metrics
• Define team and team leader KRAs and expected role
• Publish account level Dashboards

Desired Job Skills

• Knowledge and experience with transition management, process automation, operational efficiency development, conflict resolution
• Quick learner, with excellent retention of responsibilities
• Goal oriented and spirited competitor
• Strong organizational and time management skills
• Should have on-site process transition experience
• Knowledge of and adherence to company policies and protocols
• Knowledge of and adherence to HIPAA and safety guidelines
• Excellent communication and presentation skills
• Excellent customer service and networking skills
• Individual must take initiative, be strong peer and maintain a positive attitude
• Be able to work with minimal supervision
• Excellent oral, written communication and interpersonal skills
• Excellent MS Office working skills
• High attention to detail
• Ability to multi-task in a high pressure environment
• Experience in driving process improvements
• Experience of working in Matrix structure organizations
• Ability to understand client and financial risk while planning change
• Understanding industry trends in the healthcare provider space
• Technology / automation experience in the healthcare provider space

Position Outcomes

• Understand regulatory landscape to determine strategic approach
• Regularly provide upper management with status including reports, metrics, and presentations
• Works with the functional VP in creation of tools, processes, training, BI, people capability, org design and governance needed to ensure success in the defined approach

Qualifications

• Bachelor's Degree or Healthcare Administration or related field
• Graduate with prior experience in US Medical Billing / AR / RCM process mandatory
• 10+ years of relevant experience in healthcare related industry
• 4+ years of management experience in healthcare related industry
• Have prior work experience in a Healthcare BPO providing RCM services
• Experience in recruitment and hiring
• Comfortable working in Night Shift
• High Emotional Quotient