Medical Coding
3 weeks ago
Position Available: Medical Coding & Billing Manager
(US Healthcare Process)
Surgery and Ambulatory BIlling Specialists
We are seeking a Certified and Experienced Medical Coding & Billing Manager to join our team immediately.
Essential Duties and Responsibilities
Manage day-to-day operations and directs the team responsible for Healthcare RCM back office/transaction management activities
Manage and meet performance targets for average handle time, Client SLA, quality , outcome measures and customer satisfaction
Manage a group of Team Leads responsible for management of back office agents and SMEs.
Coordinate with internal support functions such as Quality, WPC, Training, Admin, HR
Ensure quality and efficiency measures are met within the team and in accordance with service level agreements
Provide coaching and feedback to direct report positions to ensure satisfactory performance levels
Use business tools and advanced Healthcare RCM knowledge to identify problem areas and document business requirements
Identify and recommend operational and technological tools to improve efficiency
Work with operations and information technology personnel to resolve issues and improve operational efficiency
Establish and maintain effective work procedures
Review, assess and identify coaching & training needs to provide staff with necessary skills and knowledge
Understand, communicate and implement strategic direction and leadership for HCL to ensure consistent and cohesive business objectives and to enhance customers experiences in both a regulated and a competitive market.
Plan and monitor operations initiatives to improve the efficiency and effectiveness of the back office
Review and ensure processes are in compliance with internal policies and external regulations.
Respond to escalated issues regarding performance and quality.
Coordinate, participate, and/or manage multiple projects assigned by senior management, providing input on operations related matters.
Interface and coordinate with various stakeholders
Responsible for meeting the revenue targets and also the Margins based on business plan.
EDUCATION/EXPERIENCE
The minimum education requirements are:
Bachelor's degree in any stream (may substitute two years of relevant experience per one year of required education)
The minimum experience requirements are:
Eight to Twelve years of relevant work experience-: US Healthcare RCM experience (preferably SURGERY BILLING)
Min. 3 Yrs of Managerial exp. in similar rolls for E3.1
Five years of experience supervising professional workgroups (SME / team leaders)
Experience in managing customer/supplier relationships.
SKILLS AND COMPETENCIES
Exceptional leadership skills, including the ability to manage through a shared vision and path to success
Ability to create, communicate and manage SLA metrics that support operational targets
Excellent problem solving skills and ability to use good judgment to make decisions
Possess exceptional people management skills enabling effective interaction with internal, external customers, employees, peers, and management
Strong analytical skills and desire to research problems to seek resolution
Exceptional verbal and written communication skills
Exceptional customer service abilities to handle difficult customers on calls, or present during review meetings
Proficiency in Microsoft Office suite (Excel, word and powerpoint)
Work effectively in a team environment
Strong time management and organizational skills
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