Location
Secunderabad | India
Job description
Key Responsibilities:
Process:
Ensure Client agreed SLAs and metrics are met at the right accuracy levels.
Provide functional support and direction to direct reportees on delivery Course Correction ( Analyze business metrics trends, potential issues & escalations, Client feedback & business strategy / goals)
To assist the Management in start-up of new projects & advise the management to explore on the new business opportunities
Identify automation opportunities to impact efficiency & delivery quality
Ensure systems development integration with strategy
Educate & drive adherence to Compliance policies & initiatives across the functions managed
Enforce & support on PHI & HIPAA compliance across the org under self
Update & keep abreast on the regulations, statutory changes & any other such client market mandates /changes impacting business ( IKS/ Client)
Twice monthly minimum detailed 120-149, 150, 365 review provide back findings on analysis of accounts and needs along with Monthly ATB summary by FC / Clinic
Payor specific issues to be quantified & communicated in the first month. Escalate in 2 weeks. Process to get additional assistance if unresolved at day 60 from identification.
Client specific issues communicated in the first month. Escalate in 2 weeks. Process to get additional assistance if unresolved at day 60 from identification.
Unidentified account standing monthly & ongoing training of PP for any unresolved after 30 days
Credit Balance: Monthly, ensure government payers stay current & determine & due to CA posting
Special Project over-site as applicable
Auditing outcome & training feedback confirmation
Deliver True Productivity Metric defined for function managed
Expect Feedback: trends , New scenarios, how to resolve, update Payor / website info
Schedule time and level with direct reports
Q&A newsletter, 'TIPS' additions from you
Monthly team 'huddle' with structured, agenda at least month - include sharing positives and opportunities and specific target goals for coming months (next in line are clear on how to implement, monitor, result - monitor weekly by Revenue Leader)
People:
Maintain High levels of employee Retention & Satisfaction for the aligned process
Live and promote the values of IKS
Coach & build successor's basis their strength & interests
Help manage high level of team performance through a culture of continual feedback, coaching and learning
Ensure smooth onboarding and engagement of the new hires in the process most importantly during the first 6 months at IKS.
Client:
Manage VOC & Customer Satisfaction for the account Managed
Ensure clients/customers satisfaction through:
Project implementation
Relationship Management
100% client engagement through proper governance and reporting
Proactively identifying issues that impact delivery and business and course correct.
Timely management of client escalations.
Financial:
Efficiently Manage the P&L (aspects defined as per KPI / KRA on Revenues & Operating Efficiency) for the customers assigned
Qualifications:
Graduate in any stream is a must
MBA preferred from a UGC/AICTE approved institute
Role Prerequisites:
An overall work experience of minimum 8 years is a must
A relevant experience of minimum 6 years should be preferably in the healthcare RCM space.
Should have an experience of managing a team size of up to 50+ FTEs
Experienced in measuring target achievements, skills at people management, P&L / EBITDA / Customer Satisfaction / Leadership.
Managed all aspects of Delivery including recruiting, training, career mapping, quality & operational finance
Strong understanding of atleast one billing system eg: NG, EPIC, ECW, Athena etc would be preferred.
Functional Competencies:
AR: Knowledge on AR strategies, Payer guidelines, AR platforms, global issues, exposure to & understanding of AR complexities, denials & revenue stream, front end working environment would be preferred.
Billing: Knowledge on billing nuances, payer rules & guidelines, edits & rejections, billing platforms, exposure to & understanding of Coding would be preferred
Payment Posting: Knowledge on payment / posting nuances, pay sources, enrollments, know-how of payer contractual, refunds & credits would be preferred
Knowledge of either AR, PP, Billing, EV/BV would be preferred (Mandate for Internal Growth)
Knowledge of federal and the top 5 commercial payers would be preferred
Basic Knowledge of Medical Codes would be preferred
Good Feedback and Coaching Skills
Good Interpersonal Skills
Basic Knowledge of Microsoft Tools would be preferred
Presentation Skills
Delegation
Behavioural Competencies:
Accountability
Team Work
Communication
Customer Centricity
Developing Others
Impact and Influence
Analytical Ability
Leading Change
Job tags
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