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RCM Team Manager

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. Together, we empower clients to create sustainable growth, optimize internal processes, and deliver better consumer outcomes.

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.

As a RCM Team Manager at Huron, you will be responsible for team management, service delivery of day-to-day back office RCM functions to ensure customer satisfaction and meet contractual SLAs. Demonstrate leadership and take accountability.

Key Responsibilities

  • Streamline core day-to-day operations in RCM processes in the US Healthcare domain
  • Formulate and implement strategic plans for new technologies and tools to support sustained profitable growth of the account
  • Well-versed in executing cost-saving measures and modifications to achieve substantial reduction and work within the given budget/cost
  • Understand and implement Lean Six Sigma methodologies of quality and comply with the norms of regulatory authorities
  • Prioritize work and deploy staff as required to ensure customer deliverables are met in regards to on-time delivery of service and quality of work
  • Manage, train, and develop a work environment that promotes high motivation and customer satisfaction
  • Should have managed a team/group of 50 to 70 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
  • Drive improvement projects on productivity, improve SLAs, and quality
  • Ensure brand integrity through adherence to standards and procedures in an effort to attain established profitability goals and brand awareness in the market place
  • Communicate with existing and prospective clients
  • Willing to work in night shift/US timings

Qualifications

  • 12+ years of US Healthcare – RCM industry experience
  • Good knowledge of Lean and Six Sigma/Certification in Lean and other quality practices an added advantage
  • 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
  • Solid verbal and written communication skills are required

Education/Certifications

  • Graduate in any discipline