Rcm

2 months ago


Mohali Punjab, India Nearby Business Pvt. Ltd. Full time

**Key Responsibilities**:

- **RCM Process Management**: Oversee the full scope of Revenue Cycle Management (RCM) operations, including physician and hospital billing, AR follow-up, denial management, credentialing, and compliance with insurance requirements.
- **Project Planning & Execution**: Lead and manage various projects from inception to completion, ensuring adherence to timelines, cost constraints, and quality standards.
- **Team Leadership**: Direct and mentor a team of RCM professionals, providing cross-training to ensure coverage during high-volume situations and enhance productivity. Serve as the escalation point for critical issues within the team.
- **SOP Development & Workflow Optimization**: Create and refine Standard Operating Procedures (SOPs) and streamline workflows to boost efficiency, improve service quality, and ensure compliance.
- **Client Coordination & Relationship Management**: Build strong relationships with clients and consultants to ensure smooth project execution, resolve escalations, and provide regular reporting on contract issues and denial trends.
- **Training & Development**: Conduct various training sessions to enhance the skills of the RCM team and ensure ongoing development. Provide mentorship and guidance to ensure staff productivity and quality service.
- **Compliance & Audit Management**: Ensure compliance with healthcare industry standards, including SLA management, quality checks, and audit procedures. Take initiatives to maintain and exceed service level agreements.
- **Data & Performance Reporting**: Prepare and present process dashboards, SLA reports, and scorecards to monitor and assess the performance of the RCM team. Lead data analysis initiatives to drive continuous improvement in operational efficiency.
- **Problem-Solving & Strategic Planning**: Formulate strategies to drive process excellence, improve workflows, and reduce inefficiencies.
- **Stakeholder Management**: Liaise with contract managers of various payers and healthcare providers to address and resolve contract issues and claim denials, ensuring effective communication between all parties.

Pay: ₹35,000.00 - ₹50,000.00 per month

Schedule:

- Day shift

**Experience**:

- total work: 1 year (preferred)

Work Location: In person


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