
Senior Leadership Professional
2 weeks ago
Our organization is seeking a seasoned professional to fill a critical leadership role within our operations team.
Key Responsibilities:- Ensure day-to-day operations are running smoothly and productivity targets are met.
- Deliver high levels of customer service and maintain overall service delivery at the highest standards.
- Oversee billing and compliance processes, adhering to Standard Operating Procedures (SOPs).
- Help the team prioritize work, follow SOPs, and communicate challenges effectively.
- Inform leadership of critical findings impacting RCM performance and recommend solutions for improvement.
- Collaborate with internal and external teams to document, action, and convert challenges into wins within set timelines.
- Review Practice KPI Trends and work with the team to identify and resolve issues promptly.
- Partner with onshore and offshore teams to create and implement processes and procedures for identifying and resolving quality concerns.
- Work with onshore vertical teams to standardize processes and practice instructions.
- Share monthly trend analysis at practice level to identify continuous improvement opportunities.
- Must have strong hands-on knowledge of Physician RCM functions within US Healthcare.
- 7+ years of related working experience in core Provider RCM, with a minimum 2 years as a Lead Operations / QA/ Process Improvement managing a team of 10-20 FTEs.
- Strong knowledge of workflows and procedures within specialties such as Dermatology, Gastro, Orthopedics, Podiatry, Ophthalmology, ENT, etc, is beneficial.
- Adept at developing and analyzing various KPIs while running reports from various sources.
- Exceptional written, verbal, and interpersonal communication skills required.
- Strong understanding of various insurance carriers, including Federals, HMOs, PPOs, Capitation, and Workers' Comp.
- Advanced Excel skills, including data analysis, pivot tables, and conditional formatting.
- Able to create visualizations of data through charts, graphs, and presentations.
- Six Sigma specialist who has participated in process and quality improvement projects is preferred.
- Proven experience and commitment to promoting a positive work environment and developing an employee-focused workplace.
- Commitment to developing expertise in ModMed products within three months of employment.
- Able to work during the night shift.
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