Operations Manager

Job Description

Who we are:

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better.

R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence 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: Operations Manager

Location: Hyderabad

Reports to (level of category): Senior Operations Manager

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.

a) Day-to-day operations

b) People Management (Work Allocation, On job support, Feedback & Team building)

c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP)

d) Reports (Internal and Client performance reports)

e) Work allocation strategy

f) CMS 1500 & UB04 AR experience is mandatory.

g) Span of control - 80 to 100

h) Thorough knowledge of all AR scenarios and Denials

i) Expertise in both Federal and Commercial payor mix

j) Excellent interpersonal skills

h) Should be capable to interact with US clients and manage escalations

Qualifications

- Graduate in any discipline from a recognized educational institute

- 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.

- 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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