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SME/Process Specialist
4 weeks ago
- Experience in handling a team/group of 15 to 20 FTEs
- Thorough understanding of RCM processes like:
- Billing
- Cash Posting
- Credit Balance
- Accounts Receivables
- Denial Management
- Correspondence review
- Very good understanding of RCM metrics such as:
- Days in AR
- Ageing above 90 days
- Collections
- Bad debt
- Periodically review team's performance and recommend performance improvement plans wherever required
- Hands-on in preparing daily, weekly, and monthly operational metrics reports from the Practice Management/Billing System and workflow tool using MS Excel
- Identify trends and patterns from the generated reports and initiate action plans to resolve the AR issues
- Responsible for work allocation/distribution to the team and monitor their work
- Create and maintain daily operational scorecards to track and report KPIs; assist in volume forecast and capacity planning as required
- Generate and distribute management reports in an accurate and timely manner
- Perform data analysis for generating reports on a periodic basis, including ad-hoc reports
- Establish a strong relationship with Team Managers by demonstrating gaps, trends, and patterns identified during the data/report compilation
- Suggest ways of improving the process using Lean Six Sigma methodology and recommending automation of repetitive processes
- Able to interact with the client effectively
- Willing to work in night shifts/US timings
Qualifications
- 5+ years of industry experience
- 3+ years of experience in relevant billing functions (mandatory)
- Proficient in MS Excel and creating Excel macros
- Strong ability to analyze raw data, draw conclusions, and develop actionable recommendations
- Ability to handle multiple tasks of reporting simultaneously
- Ability to adapt quickly to new and changing technical environments as well as strong analytical, problem-solving, and quantitative abilities
- Solid verbal and written communication skills are required