Operational Excellence Specialist

2 days ago

Bengaluru, Karnataka, India beBeeOperational Full time US$ 1,04,000 - US$ 1,30,878

Key Role: Operational Excellence Specialist

About the Position:

This critical leadership role is responsible for spearheading the day-to-day operations of back-office Revenue Cycle Management (RCM) functions in the US healthcare domain. As an Operational Excellence Specialist, you will play a pivotal part in ensuring customer satisfaction by meeting contractual Service Level Agreements (SLAs), driving operational improvements, and overseeing a team of professionals.

The ideal candidate will have a proven track record of streamlining RCM processes, implementing cost-saving strategies, and ensuring high-quality service delivery. This role also involves performance monitoring, reporting, and improvement projects to guarantee operational excellence and efficiency.

Key Responsibilities:

  • Streamline and optimize core RCM processes, including Billing, Cash Posting, Credit Balance, Accounts Receivables, Denial Management, and Correspondence review.
  • Develop and implement strategic plans for new technologies and tools that drive profitable growth for the organization.
  • Execute cost-saving measures to reduce operational costs while maintaining quality service delivery.
  • Apply Lean Six Sigma methodologies to ensure quality and regulatory compliance in RCM processes.
  • Prioritize work, deploy staff effectively, and ensure on-time delivery of services.
  • Manage, train, and develop a motivated team to meet customer satisfaction goals.
  • Oversee performance management of teams, ensuring consistent delivery of quality work.
  • Review and analyze team performance, implementing improvement plans as needed.
  • Prepare and review operational metrics reports (daily, weekly, monthly) using MS Excel and Practice Management/Billing Systems.
  • Identify trends in reports and take action to resolve AR issues and improve team performance.
  • Generate and distribute accurate management reports and conduct data analysis for periodic and ad-hoc reports.
  • Maintain and report on KPIs through daily operational scorecards, assisting with volume forecasting and capacity planning.
  • Drive continuous improvement projects to enhance productivity, SLA compliance, and quality.
  • Maintain brand integrity by adhering to organizational standards and processes.
  • Establish and maintain strong relationships with Team Managers and clients.

Qualifications and Skills:
  • A minimum of 12 years of experience in US Healthcare RCM.
  • Knowledge and certification in Lean Six Sigma or other quality management practices are highly desirable.
  • Proficiency in MS Excel, including advanced features like creating macros.
  • Strong ability to analyze raw data, draw conclusions, and develop actionable insights.
  • Ability to handle multiple reporting tasks simultaneously and adapt to new technical environments.
  • Strong communication skills, both verbal and written.

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