Experience

 15 + years of healthcare experience in RCM - AR

 Should have Director level experience in RCM - AR [Latest]

Skills:

• Strong leadership and mentoring skills, Excellent verbal and written English language communication skills Should have training, coaching skills.


• Ability to absorb key learning's and apply to own project, should have analyzing and reasoning skills.


• Skilled and accomplished in all aspects of the RCM industry knowledge.


• Excellent verbal and written communication skills.


• Demonstrated organizational skills, analytical abilities, and problem-solving skills.


• Ability to manage projects to accomplish all within internally and externally imposed deadlines.


• Flexibility to perform functions effectively in a multiple deadline, changing environment.


• Ability to work independently as well as cooperatively with a wide variety of personalities.


• Ability to work on multiple projects simultaneously.

Job Description

•  Owns the complete P&L for RCM process.


•  Provide leadership and focus to the project teams. Responsible for the productivity, quality and overall performance of the projects.


• Helping the team in handling & resolution of work-related problems, understanding & interpretation of Issues and decision making.


•  Resource planning: Ensuring optimum utilization of resources/capacity.


• Ensure zero revenue shortfall for all projects.


•  Provide input and support to sales team/BD in putting together business proposals, RFI, RFQ etc…


•  Help develop collaterals for the AR team and co-ordinate with marketing team.


•  Provides new ideas to the software team to help improve the AR process. Help develop workflow, new products for the AR team.


• Learn and implement new client systems. Co-ordinate and organize training for new joinee’s as well as for existing members of the team based on the project’s requirement.


• Manage risk/issues. Escalation of key issues to customers /Client service manager.


• Interaction with the clients & taking feedback from clients and formulating Strategies to meet the client’s specific needs and expectations. 


• Identify training gaps in the team and develop a plan with dept. trainer for retraining sessions.


• Tracking and maintaining historic data of various reports including production, quality, Collections report, Operations report & other documentation etc.


•  Develop processes to improve productivity and quality of the team.


• Monitoring and managing workflow or daily targets to assure timel delivery of agreed SLA’s.


• Be customer focused and always look for value additions in the process.


• Should have good people management skills to manage large teams.


•  Reviews AR trends in Cash, DSO, and Bad Debt and communicates routinely with Sr. VP Operations and CEO to address areas of concern.


•  Assists the Sr. VP Operations in the development of corrective action plans related to Business Office AR functions. Obtains written copies of corrective action plans and monitors the compliance of corrective action plans during subsequent reviews with the Sr. VP Operations.


•  Compiles and distributes AR focus reports to the Delivery council, Weekly and as needed.


•  Monitors AR Management Goals monthly and works with the Sr. VP Operations to ensure quarterly reduction in volume of accounts through collections and account resolution.


•  Monitors and ensures completion of Medicare Unbilled Claims Tracker and distributes report to: Delivery council.


• Ensures the timely referral of appropriate accounts through reviews and account discussions.


•  Monitors and tracks the monthly external collection referrals.


•  Validates that documented collection activity in centers comply with established policies and procedures.


•  Works with the Sr. VP Operations to identify trends or patterns delaying AR collections and then coordinates measures for process improvement.


•  Assists in interviewing business office AR staff.


• Performs other tasks as assigned.


•  Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.