Assistant Manager

1 week ago

Gurugram India FHRM LLP Full time

Job Description We are looking to hire Assistant Manager from US Healthcare Domain. Roles And Responsibilities - Develop an extensive working knowledge of the RCM Business. - Understand the objectives behind client's actions and identify any obstacles they may face. - Work closely to provide support and account management to resolve client issues effectively. - Determine when an issue needs to be escalated to management for resolution. - Engage with clients through various channels, including phone, email, live chat, Facebook, and an internal tasking system. - Escalation and Risk Management - Recognize tone, keywords, and signs to address client concerns proactively. - Ensure accurate documentation of all client interactions. - Follow up on client interactions as per procedures. - Perform other duties as assigned by management, adhering to the dynamic needs of the department. - Drive Process Quality - Flag and address Severity 1 Incidents (Incidents with business value impact value). - Assists with the development and implementation of RCM strategies, recommends process changes and improvement initiative to continuously improve the RCM process to maximize billing and collections. - Leads the team on the day-to-day operations and ensures the deliverables defined in scope of work are met. - Motivates the team to adhere to SOP, policies and comply to process metric benchmarks. - Coordinate with supervisors and team leaders to ensure efficient claims submission and payment processes for multiple clients as per the SLA defined in the contract. - Internal Audit of specified High value and High Risk claims with focus on Compliance and Revenue Optimization - Do Root cause analysis of customer complaints and ensure the complaints are not repeated through awareness training, process re-engineering wherever needed. - Compile and analyze data for billing errors and work on solutions to reduce billing errors. - Responds to all telephonic and email queries from client and onsite team in a clear, concise and timely manner. - Any other tasks related to Revenue optimization and billing. - Would be working as a mediator between provider and AR/Billing Team. Qualifications - Proven experience in customer support or a similar role. - Excellent problem-solving and analytical skills. - Strong verbal and written communication abilities. - Ability to work effectively in a team and independently. - Familiarity with medical billing processes is a plus. - Proficiency in using various communication platforms including live chat and social media. - Commitment to providing high-quality support to enhance client satisfaction. - 5 years of claims processing experience in Health insurance operations - Proficient in Healthcare Revenue Cycle programs and Technology Position Requirements - Must be comfortable working the US business hours Key Performance Indicators (KPIs) Core KPIs - Reduce overall Turn Around Time - Increase productivity - Client satisfaction Index Additional KPIs - Achieve 100% timely submission every month for assigned clients - Analyze, control and implement actions to minimize or eliminate Revenue Leakage for the assigned clients/cluster. Perks And Benefits &bullet 5 days working &bullet Both Side Cab &bullet One Time Meal &bullet Health Insurance Facility worth Rs 5 lac

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