Medical Coding
3 weeks ago
We are seeking a Certified and Experienced Medical Coding & Billing Manager to join our team immediately.
Essential Duties and ResponsibilitiesManage day-to-day operations and directs the team responsible for Healthcare RCM back office/transaction management activitiesManage and meet performance targets for average handle time, Client SLA, quality , outcome measures and customer satisfactionManage a group of Team Leads responsible for management of back office agents and SMEs.Coordinate with internal support functions such as Quality, WPC, Training, Admin, HREnsure quality and efficiency measures are met within the team and in accordance with service level agreementsProvide coaching and feedback to direct report positions to ensure satisfactory performance levelsUse business tools and advanced Healthcare RCM knowledge to identify problem areas and document business requirementsIdentify and recommend operational and technological tools to improve efficiencyWork with operations and information technology personnel to resolve issues and improve operational efficiencyEstablish and maintain effective work proceduresReview, assess and identify coaching & training needs to provide staff with necessary skills and knowledgeUnderstand, communicate and implement strategic direction and leadership for HCL to ensure consistent and cohesive business objectives and to enhance customers experiences in both a regulated and a competitive market.Plan and monitor operations initiatives to improve the efficiency and effectiveness of the back officeReview and ensure processes are in compliance with internal policies and external regulations.Respond to escalated issues regarding performance and quality.Coordinate, participate, and/or manage multiple projects assigned by senior management, providing input on operations related matters.Interface and coordinate with various stakeholdersResponsible for meeting the revenue targets and also the Margins based on business plan.
EDUCATION/EXPERIENCEThe minimum education requirements are:Bachelor's degree in any stream (may substitute two years of relevant experience per one year of required education)
The minimum experience requirements are:Eight to Twelve years of relevant work experience-: US Healthcare RCM experience (preferably SURGERY BILLING)Min. 3 Yrs of Managerial exp. in similar rolls for E3.1Five years of experience supervising professional workgroups (SME / team leaders)Experience in managing customer/supplier relationships.
SKILLS AND COMPETENCIESExceptional leadership skills, including the ability to manage through a shared vision and path to successAbility to create, communicate and manage SLA metrics that support operational targetsExcellent problem solving skills and ability to use good judgment to make decisionsPossess exceptional people management skills enabling effective interaction with internal, external customers, employees, peers, and managementStrong analytical skills and desire to research problems to seek resolutionExceptional verbal and written communication skillsExceptional customer service abilities to handle difficult customers on calls, or present during review meetingsProficiency in Microsoft Office suite (Excel, word and powerpoint)Work effectively in a team environmentStrong time management and organizational skills
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