Lead Associate

3 weeks ago

Gurgaon Gurugram India R1 RCM - Revenue Cycle Management Full time

'R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For TM 2023 by Great Place To Work® Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to 'make healthcare simpler' and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities'.

Designation: Sr. Analyst/Lead Associate

Reports to (level of category): Individual-COA(Performance Management)

Role Objective

Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash-posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.

Essential Duties and Responsibilities

  • Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.

  • Analysis data to identify process gaps, prepare reports and share findings for Metrics improvement.

  • Able to interact independently with counterparts.

  • Performance management

  • First level of escalation

  • Work in all shifts on a rotational basis WFO only

  • Need to be cost efficient with regards to processes, resource utilization and overall constant cost management

  • Must operate utilizing aggressive operating metrics.

Qualifications

Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')

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.

Subject matter expert in AR follow up

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. To learn more, visit:

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