DGM - Operations - RCM - US Healthcare (10-13 yrs)

3 weeks ago

Mumbai, Maharashtra, India iimjobs Full time
DGM - Operations - RCM

Job Title:

DGM

Job Category:
Permanent

Department/Group:
Dental

Shift- Night

Function-Dental

Job Description

Role and Responsibilities:

  • Manages, plans, and evaluates the staff and initiatives of the Revenue Cycle. Participates in the ongoing process to identify opportunities to refine workflow to meet business objectives in order to improve efficiency and outcomes internally and externally (clients).

Duties and responsibilities include:

Operations Leadership at Scale:

  • Manage operations and client with a large team with at least 500+ employees and 10+ years of Ops experience
  • Review and evaluate team's productivity and quality to ensure goals and client metrics are met
  • Establish and maintain strong and positive customer relationships
  • Assist the senior level leadership and executives in monitoring staffing levels and ensure team is staffed appropriately based on business needs
  • Escalate issues to the senior level leadership
  • Manage month end reporting
  • Prepare and send client invoices
  • Provide feedback and ongoing training to teammates related to job functions
  • Ability to accurately forecast and prepare budget

Client Governance:

  • Ability to onboard new clients by virtue of collaborating with sales, IT, admin, HR teams and also ensuring seamless client implementation
  • Becomes the Point of contact for clients with a high level of customer service by reaching out to clients by phone or email every week / two weeks looping them in on issues or accomplishments prior to month end review meetings
  • Respond to client requests in a timely manner
  • Identify client needs as well as provide feedback to clients on best practice workflow
  • Complete, review, and provide feedback on the monthly client dashboards related to volumes, quality, issues or KPIs

Team Management and Attrition Management:

  • Monitor and support teammates on a daily basis, and provide the senior leadership with daily metric updates
  • Provide feedback and ongoing training to teammates related to job functions
  • Provide directions to the team members to ensure EV timelines are met, manage payment posting trends and reconciliation, as well as manage client's AR
  • Conduct skip level reviews by setting up meetings with leads and staff and documenting feedback
  • Participate in team's performance reviews
  • Ensuring strong team connect and minimize attrition

Other skills:

  • Thorough knowledge of RCM workflow with past experience of having managed eligibility verification, reading EOBs, posting payments, AR follow up
  • Evaluates opportunities to increase efficiency and revenue across functions by virtue of automation and upsales, and manages the implementation of automation and solutions in order to increase efficiency and revenue goals; consistently works with internal and external partners to achieve revenue cycle goals and objectives
  • Strong analytical skills and a high level of computer literacy with solid skills using Microsoft Excel
  • Ability to manage people, lead teammates and work with all levels of management
  • Ability to effectively present information
  • Ability to make decisions and work independently
  • Thrive in a fastpaced work environment
  • Navigate client and internal software (PMS's)
  • Adherence to HIPAA regulations
  • Ability to work independently and as part of a team
  • Strong attention to detail and speed while working within tight deadlines
  • Exceptional ability to follow oral and written instructions
  • A high degree of flexibility and professionalism
  • Excellent organizational skills
  • Outstanding communications skills; both verbal and written
  • Team and serviceoriented
  • Qualifications and Education Requirements

Preferred Skills:

Attention to Detail:
This role requires a high level of attention to detail

  • Analytical and Problem-

Solving Skills:

You should be able to analyze and interpret data, as well as identify and solve problems that may arise.


  • Communication Skills: Ability to communicate effectively
  • Flexibility and should be able to work cohesively with the team

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