Role Objective
- Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.
Essential Duties and Responsibilities
Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.Day-to-day operationsPeople 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 strategyCMS 1500 & UB04 AR experience is mandatory.Span of control - 80 to 100Thorough knowledge of all AR scenarios and DenialsExpertise in both Federal and Commercial payor mixExcellent interpersonal skillsShould be capable to interact with US clients and manage escalationsQualifications
Graduate in any discipline from a recognized educational instituteGood analytical skills and proficiency with MS Word, Excel and PowerPointGood communication Skills (both written & verbal)Skill Set
Candidate should be good in Denial ManagementCandidate 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.Skills Required
Process Improvement, Data Analysis, Project Management, Budget Management, Supply Chain, Risk Management, vendor relations