Medical Coding

2 weeks ago

india Talentgigs Full time

Job Description

Position Available: Medical Coding & Billing Manager

(US Healthcare Process)

Surgery and Ambulatory BIlling Specialists



We are seeking a Certified and Experienced Medical Coding & Billing Manager to join our team immediately.



Essential Duties and Responsibilities

Manage day-to-day operations and directs the team responsible for Healthcare RCM back office/transaction management activities

Manage and meet performance targets for average handle time, Client SLA, quality , outcome measures and customer satisfaction

Manage a group of Team Leads responsible for management of back office agents and SMEs.

Coordinate with internal support functions such as Quality, WPC, Training, Admin, HR

Ensure quality and efficiency measures are met within the team and in accordance with service level agreements

Provide coaching and feedback to direct report positions to ensure satisfactory performance levels

Use business tools and advanced Healthcare RCM knowledge to identify problem areas and document business requirements

Identify and recommend operational and technological tools to improve efficiency

Work with operations and information technology personnel to resolve issues and improve operational efficiency

Establish and maintain effective work procedures

Review, assess and identify coaching & training needs to provide staff with necessary skills and knowledge

Understand, communicate and implement strategic direction and leadership for HCL to ensure consistent and cohesive business objectives and to enhance customers experiences in both a regulated and a competitive market.

Plan and monitor operations initiatives to improve the efficiency and effectiveness of the back office

Review and ensure processes are in compliance with internal policies and external regulations.

Respond to escalated issues regarding performance and quality.

Coordinate, participate, and/or manage multiple projects assigned by senior management, providing input on operations related matters.

Interface and coordinate with various stakeholders

Responsible for meeting the revenue targets and also the Margins based on business plan.


EDUCATION/EXPERIENCE

The minimum education requirements are:

Bachelor's degree in any stream (may substitute two years of relevant experience per one year of required education)


The minimum experience requirements are:

Eight to Twelve years of relevant work experience-: US Healthcare RCM experience (preferably SURGERY BILLING)

Min. 3 Yrs of Managerial exp. in similar rolls for E3.1

Five years of experience supervising professional workgroups (SME / team leaders)

Experience in managing customer/supplier relationships.


SKILLS AND COMPETENCIES

Exceptional leadership skills, including the ability to manage through a shared vision and path to success

Ability to create, communicate and manage SLA metrics that support operational targets

Excellent problem solving skills and ability to use good judgment to make decisions

Possess exceptional people management skills enabling effective interaction with internal, external customers, employees, peers, and management

Strong analytical skills and desire to research problems to seek resolution

Exceptional verbal and written communication skills

Exceptional customer service abilities to handle difficult customers on calls, or present during review meetings

Proficiency in Microsoft Office suite (Excel, word and powerpoint)

Work effectively in a team environment

Strong time management and organizational skills

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