Overview
POSITION DESCRIPTION
JOB TITLE : Operations Manager
REPORTS TO : AVP / VP
We are currently seeking an Ops Manager to support a growing client base and manage the dayto-day operational activities of the production team and to help stabilization of the process
combining their clinical and / or coding expertise with payment accuracy. This includes ensuring
that the team delivers as per set expectations while maintaining the required quality standards.
The role involves day to day coordination with internal as well external teams
Job Responsibilities
- Supervise the day-to-day operations and effectively manage a team of production
analysts / Team Leads on the assigned project
Ensure team delivers 100% on projects within contracted turn-around-time and meetsaccuracy metric as per client SLA
Ensure optimum utilization of the staff and manage shrinkage to meet daily deliverablesIdentifying the areas of improvement for training for a team / individual based on error trendanalysis
Effective planning in place to manage OJT period within the specified periodSupport the team by discussing complex cases, resolving queries, providing education andinterfacing with both company and client leadership
Steer internal education program to ensure team has required training to meet accuracyand turn-around-time metric
Ensures proactive identification of any negative deviations in the processContribute to PCI product by providing feedback to Management / Development Teamson changes to enhance editing and efficiency
Willing to work in a 247 work environment post trainingTraining would be conducted during US business hours and may last up to 6 monthsRequired to be available in the office for training and first few weeks of go-live,depending on the future pandemic conditions as well as company's ability to resume
operations from an office setting
Works effectively in co-ordination with the India teamATTRIBUTES AND BEHAVIORS
Develops and maintains positive working relationships with othersShares ideas and information and has ability to collaborate efficientlyAssists colleagues and the team unpromptedTakes pride in the achievement of team objectivesHas credibility with peers and senior managersSelf-motivated – driven to achieve resultsWorks with a sense of urgencyHigh customer service ethic – is passionate about meeting customer expectations andimproving service levels
Keeps pace with change – acquires knowledge / skills as the business evolvesHandles confidential information with sensitivityRelevant Experience & Educational Requirements
Medical degree with CIC / CCS certification or in-patient DRG experience withCIC / CCS certification
Minimum of two years' experience working as Asst. Mgr. / Mgr. or equivalentExperience in US Healthcare, medical coding, medical billing, RCM health planoperations strongly preferred
Possesses knowledge of healthcare claims payment policy and processing –specifically CMS, Medicaid regulations, AAOS, ICD-10-CM, ICD-10-PCS, CPT &
HCPCS, etc.
Practical clinical experience working in a hospital / office or nursing home preferredHas general knowledge of medical procedures, conditions, illnesses, andtreatment practices
Possesses excellent written and verbal communication skills. Ability to think logicallyand process sequentially with a high level of detailed accuracy and efficiency
Has excellent personal computer skills in Microsoft Word, Excel, PowerPoint,Outlook, etc.
Skills & Competencies
Strong analytical, critical thinking and problem-solving skillsExcellent verbal and written communication skillsQuick learner and proficient in application of learningsExcel proficiencyStrong organizational skills and adaptive capacity for rapidly changing priorities andworkloads
Able to get periodic analysis as per business needs, to improve productivity and qualityAbility to work well independently and maintain focus on a topic for prolonged periodsof time
Skills Required
Hcpcs, Medical Billing, Cpt, Microsoft Word
