Senior Healthcare Solutions Manager

3 days ago

Chennai, Tamil Nadu, India beBeeHospitalBilling Full time ₹ 9,00,000 - ₹ 15,00,000

About Our Company

We are a leading global healthcare partner that delivers strategic innovation, expertise, and flexibility to our clients. As a US healthcare conglomerate captive, we have direct access to deeper insights that help us accelerate our learning process and stay ahead of the curve.

We deliver next-generation solutions that enable our clients to provide positive experiences to their consumers. Our global collaborative of healthcare, operations, and IT experts creates innovative and sustainable processes for our clients, engaging ever-evolving consumers and assisting them in managing the future of their healthcare better.

We recognize that our people are our strength, and the diverse talents they bring to our global workforce are directly linked to our success. We value integrity, diversity, and inclusion in the organization.

Job Summary

This role takes the lead in providing effective team handling and timely delivery of assigned tasks, requiring strong knowledge in denial management, trend analysis, and reports management, as well as proven job knowledge in hospital billing.

The ideal candidate will work in a challenging environment to deliver high-quality solutions to meet the demands of our clients. They should have experience in hospital billing and denial management, be able to lead and own technical deliverables, and deliver high-quality and innovative solutions for clients.

Key Responsibilities

  • Monitor files for completeness and accuracy.
  • Review file documentation for compliance with quality standards and relevant policies.
  • Prepare and provide information to clients based on their expectations.
  • Identify and recommend improvements to workflows and processes to improve accuracy and efficiency.
  • Specialized knowledge of Microsoft Excel is required for daily inputs, building functions, sorting, and filtering large amounts of data.
  • Adhere to all company and department policies regarding security and confidentiality.
  • Interpret data using analytics, research methodologies, and statistical techniques.

Requirements

  • Bachelor's degree in any stream.
  • Flexible to work from the office all five days a week.
  • 3-5 years of provider credentialing experience.

PREFERRED QUALIFICATIONS

  • Through knowledge of working on provider credentialing.
  • Added advantage of working on CAQH, Cactus, and Acorn.
  • Must be extremely detail-oriented and able to multitask.
  • Possess a high level of self-motivation and energy with minimal supervision.
  • Highly developed oral and written communication skills.
  • Ability to work both independently and in a team-oriented environment.
  • Possess good organizational skills and strong attention to detail.
  • Work in standard protocols/documents to accurately complete the assigned work.
  • Consistently document work assignments, enrollment follow-up status, and relevant in-process tasks within the specified systems and time frames.
  • Should develop knowledge about payor policies.
  • Develop the team's talent, drive employee retention, and engagement.

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