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.
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package.
Operation Manager • hyderabad, India