Calpion Software Technologies

Director - RCM/Healthcare Position: Director - RCM Operations. Location: Bangalore / Coimbatore The Director RCM is responsible for day-to-day client operations and the planning, development, and implementation of policies, objectives, and initiatives for respective clients. This position reviews and implements systematic approaches to maximize revenue and cash flow, and to ensure results are consistently delivered. This position also assists in providing leadership, management, and development of the Ensemble onsite operations team. The position is responsible through influence and direction to meet client performance expectations. This position is required to communicate organizational values and positive leadership to all associates within the organization. Job Description Summary: - Defines and establishes strategic direction, priorities, accountabilities, and ongoing quality improvement related to onsite Revenue Cycle operations. - Conducts client analyses and provides recommendations, requiring strategic innovative thinking skills, and complex cross-functional operations experience. - Creates and maintains onsite operations strategic integration plans with clearly defined objectives, desired outcomes, and timelines of implementation. - Articulates in writing plans with client deliverables, timelines, and formal tracking process. - Has strong interpersonal skills and proven ability to build relationships and organization alignment, influence decisions, engage onsite operational teams and drive results. - Participates and leads program level meetings with program stakeholders. - Responsible for influencing change related to the key functions of Revenue Cycle. Essential Job Duties: Oversight of Onsite Operations, including but not limited to: - Client-Facing - Presentation of Key Performance Indicators - Direct oversight to improve operational performance in both the client setting and the centralized environments. - Provide overall direction for successful completion of projects. - Responsible for management of Revenue Cycle On-Site Directors at the client site - Direct authority of all leadership involved in revenue cycle operations that are physically located onsite at client. This includes but is not limited to: - Performance evaluation - Skill set enhancement. - Accountability to KPIs - Growth plans and team development - Develops/ adheres to specific objectives and performance standards as defined by client and by Corporate CRM in each area of responsibility. - Coordinates with client management on initiatives related to AR aging, denial management and self-pay and POS collections / patient experience improvement. - Assists client leadership in understanding back-office metrics, tools, and reports. - Facilitates monthly onsite meeting to review the MOR. Monitors AR aging and identifies process issues/improvements in areas such as billing, collections, overall vendor performance, collection agency, and payment compliance. - Monitors bad debt and identifies process issues/improvements in areas such as registration, upfront collections, Medicaid eligibility, HIM, and Case Management. - Participates, drives, and organizes sales opportunities and client deliverables surrounding revenue cycle. - Monitors cash flow to ensure achievement of client goals as well as closely manage to SLA requirements. - Provides weekly and monthly standard reports to client leadership. - Reviews performance to ensure timeliness, accuracy, compliance, and standards fulfillment as defined in EHP Service Level Agreements. - Informs Ensemble and client leadership of any significant issues in the Patient Access and Back Office areas (e.g., Pre-registration delays, pre-authorization backlogs, cash posting backlogs, cash delays etc.) and monitors progress to resolution. - Proactively plan for succession in key positions and lead the planning for coverage when vacancies occur (utilize float pools where applicable) to eliminate negative impact to facilities experiencing vacancies. - Participates in candidate identification and consideration when filling open positions. - Leads the process for onboarding new leadership at assigned locations. - Performs staff reviews and prepares performance documents for direct reports. - Participates in monthly client conference calls; provide updates on rotational basis and highlight key challenges and/or successes to share best practices across Ensemble and clients. - Attends calls to obtain the latest information on corporate initiatives and provide appropriate updates back to Ensemble. - Other duties as assigned. A Successful Candidate Possesses: - Exhibits strong strategic, analytical, project management, communication, and team leadership skills. - Willingness to learn new technology, tools, and procedures to address short term and long challenges. - Ability to build and maintain relationships with key internal and external stakeholders. - Participates in the organization's continuing reassessment of its growth and operational efficiencies. - Communicates effectively while presenting complex information to technical and non- technical audiences. - Demonstrates the ability to maintain standards of confidentiality. - Understanding of organization context and be able to identify and engage relevant stakeholders to remove barriers. (ref:iimjobs.com)