Lead Assistant Manager – Payment Posting and Correspondence

1 month ago

tamil nadu, India EXL Full time
Job Description:
Overview: Responsible for managing the daily functions of Payment posting and correspondence handling specialists in accordance with TFA Billing Standards and Reimbursement policy and procedures. Also responsible to ensure having hands on experience as SME of handling payment posting transactions. (ERA & Manual EOB Posting) for delivery along with extensive knowledge on correspondence letters and denial management. This role will also be responsible for handling a team of scribes, grooming them before they are handed over to operations, take ownership of client deliverables,Client communications both email as well as calls projects related to standardization and technology implementation.
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Qualifications: Graduation in any stream ( Preferred science and math background )
Experience: 8-10 Years of US Healthcare experience on specified domains
Communication Skill: Strong written (documentation) and oral communication skills
Working Hours: 40 hours per week as Full-time employee
Shift time: Day/Mid Shift
Weekends Off
Telecommuter/Internet requirements, if applicable: High Speed internet connection at home, must be broadband.
Must understand and adhere with telecommuter policy.
Skills and abilities: In-depth insight on the domain process, inventory management and plan action items with the TM based on insights
Thorough knowledge of all Payment posting scenarios and Denial management.
Should play domain specific SME role.
Extensive knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials
Lead one component of a performance improvement initiative
Closely collaborate and be accountable for on time completion of charts note and meet client SLA
Responsible for maintaining the daily reports, incident logs & shift planners for your team to meet the SLAs defined
Ensure creation and maintenance of incident tracker for all ongoing issues, tracking and closure of the same
Review daily work order planning and management - Review of work list & allocation and shift schedules
Build a congenial work environment to reduce the stress among the team members and boost their morale by conducting engagement and fun activities
Preparing for the process of onboarding including Chart Note Analysis, creating a learning repository, finalizing PE and calibration opportunity with the respective provider.
Creating Business Continuity Plan- managing shift timing and leaves effectively
Act as a point of escalation for overall delivery. Ensure business continuity and proactive management of delivery risks
Constantly innovate to stay ahead and remain state of art
Perform operational performance reviews with the customer/partner and support improvement plans
Responsible for interdepartmental engagement- engaging with support functions like Quality, Compliance, HR, L&D to support project and team requirements
Contribute to continuous improvement efforts
Drive standardization projects
Support and improve the performance of team members through constant tracking, feedback, and coaching especially in cases of Performance Improvement Plan scenarios.
Identify and retain probable exits through well-defined retention management strategies.
Ensuring high engagement levels in the team through various ESAT initiatives
Ensure timely recognition of team members within the team
Ensuring a Learning culture through training program coverage at all levels as per development plans and the designed Career Architecture.
Ensuring that all programs planned for Self Development are completed.
Manage the resource requirements within the team as and when there is an increase in the execution of projects.
Ability to interact positively with team members, peer group, Client end, and senior leadership team. Should be able to drive and manage team PAN India remotely.
Ensure query escalation/ being proactive/raise alert for any queries or scenarios identified in the process/project>
Maintain TAT in responding to both internal and external client emails
Skillsets handling internal and external client calls

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