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RCM Process Specialist

1 month ago

Bengaluru, Karnataka, India Huron Full time

The Opportunity

Huron helps its clients drive growth, enhance performance, and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future instead of being disrupted by it.

Health systems, hospitals, and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services, and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates, and communities to build cultures that foster innovation to achieve the best outcomes for patients.

Position Summary

As a RCM Process Specialist, you will be responsible for team handling, work allocation, client interactions, and generating, distributing RCM metrics reports to the leadership team. Excellent communication skills, attention to detail, and strong technical and problem-solving skills are essential aspects of this role.

Responsibilities

  • Experience in handling a team/group of 15 to 20 FTEs
  • Thorough understanding of RCM processes like Billing, Cash Posting, Credit Balance, Accounts Receivables, Denial Management, and Correspondence review
  • Very good understanding of RCM metrics like Days in AR, Ageing above 90 days, Collections, and bad debt
  • Periodically review team performance and recommend performance improvement plans wherever required
  • Hands-on in preparing daily, weekly, and monthly operational metrics reports from the Practice Management/Billing System and workflow tool using MS-Excel
  • Identify trends and patterns from the generated reports and initiate action plans to resolve AR issues
  • Responsible for work allocation/distribution to the team and monitor team work
  • Create and maintain daily operational scorecards to track and report KPIs; assist in volume forecast and capacity planning as required
  • Generate and distribute management reports in accurate and timely manner
  • Perform data analysis for generating reports on a periodic basis, including ad-hocs
  • Establish a strong relationship with Team Managers by demonstrating the gaps, trends, and patterns identified during the data/report compilation
  • Suggest ways of improving the process using Lean Six Sigma methodology and suggesting automation of repetitive processes
  • Able to interact with the client effectively
  • Willing to work in night shift/US timings

Qualifications

  • 5+ years of industry experience
  • 3+ years of experience in relevant billing functions is a must
  • Proficient in MS Excel and creating Excel macros
  • Strong ability to analyze raw data, draw conclusions, and develop actionable recommendations
  • Ability to handle multiple tasks of reporting simultaneously
  • Ability to adapt quickly to new and changing technical environments as well as strong analytical, problem-solving, and quantitative abilities

Education/Certifications

  • Graduate in any discipline