Associate RCM Manager

Associate RCM Manager

Welcome to Veradigm Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information.

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Veradigm is here to transform health, insightfully. Veradigm delivers a unique combination of point-of-care clinical and financial solutions, a commitment to open interoperability, a large and diverse healthcare provider footprint, along with industry proven expert insights. We are dedicated to simplifying the complicated healthcare system with next-generation technology and solutions, transforming healthcare from the point-of-patient care to everyday life.

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RCM Associate Manager
***This is a fully onsite position in Pune, Maharashtra Office.***

SHIFT 7:30PM IST - 4:30AM IST

Our professional billing experts help organizations ensure accurate billing and coding, and
partner with them at every step of the revenue cycle. Dedicated account managers deliver
a comprehensive approach for improving the financial health of any practice.

JOB SUMMARY
Responsible for managing and tracking the productivity of the account team and insuring
the health of the client's Accounts Receivable. In addition to performing similar work, the
position supports RCM Management by efficiently and effectively providing oversight and
review of the team, processes and workload. Client financial results/KPI's

ESSENTIAL FUNCTIONS/MAJOR JOB RESPONSIBILITIES

• Strong customer service skills for client satisfaction, health of client AR and
management of RCM team members

• answering client inquiries; prompt return and follow up to all interactions; prompt
response to requests for information, both internally and externally

• acts as the first point of contact for team members and provides guidance on work
matters Interact with clients and their patients, engage in proactive resolution of
issues and timely response to questions and concerns.

• Deliver timely required reports to the RCM Management; initiates and
communicates the resolution of issues

• Meet regularly with staff; in-person and as a group to confirm the status of client
accounts and build/sustain staff engagement to drive business results and
improvements

• Track clients' AR productivity and health (charge, payments, collections,
adjustments) on a daily, weekly and/or monthly basis as needed to ensure the client
and company expectations are met.

• Remain current with company's policies and procedures regarding AR activity such
as, reviewing month end reports to insure the AR and cash collections are meeting
agreed upon benchmarks, identifying trends, reviewing denial reports

• Analyze reports to determine when, how and why decrease in clients' AR; includes
denials, unbilled, credit issues, holds; determine corrective actions and
communicate with client and staff to resolve. Follow up to ensure actions are taken
that achieve the results needed and/or determine other resolution needed

• Review work performed by outside vendors for accuracy and production. Determine
changes/improvement needed and works promptly and appropriately with
applicable individuals to bring about such changes/improvement

• Achieve goals set forth by management and compliance requirements

• Follows, enforces and models adherence to all policies, procedures and processes

• Identify and recruit internal/external talents to ensure an effective mix of
competencies. ·

• Induct new joiners to quickly maximize performance.

• Set and communicate team/individual objectives and KPI to inspire individuals to
achieve high performance. ·

• Allocate workload to fully utilize every employee's talent.

• Implement development plans and coach for individuals to reach their maximum
talent.

• Provide regular constructive feedback on performance/development and address
poor/mediocre performance on a timely manner.

• Recognize high performers to maintain motivation and retain key talent.

• Regularly communicate on company news and team progress against business
plan.

JOB REQUIREMENTS
Education Level Education Details Required/Preferred
Bachelor's Degree or equivalent Technical / Business experience Required
Additional Education
Education Level Education Details Required/Preferred
Knowledge of CPT and ICD coding and medical terminology Required
Completion of medical billing training (classroom or on-the-job) equal to graduation from a
course of study covering comprehensive medical billing practices Preferred

Work Experience
Experience Details Required/Preferred
years relevant work experience; 2-3 years at the Senior level or equivalent experience
Preferred
Additional Work Experience
Experience Details Required/Preferred
years in the medical billing field Required
Management Experience
Management
Experience Management Experience Details Required/Preferred
years relevant leadership experience Preferred

Knowledge, Skills and Abilities
· Extensive knowledge with email, search engines, Internet
· Ability to effectively use payer websites and Laserfiche; basic competence in use of
Microsoft products.
· Preferred experience with MS Access and PowerPoint, Crystal reports
· Experience with various billing systems, such as NextGen, Pro, Epic and others.
· Accounting knowledge and skills preferred

Working Arrangements
· Standard work week or as defined by assignment requirements
· May require after-hours, on-call support and/or holidays
· On-call and after hours work during peak times including end of month/quarter/year,
during this time

Benefits

Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work. Through our generous benefits package with an emphasis on work/life balance, we give our employees the opportunity to allow their careers to flourish.

Quarterly Company-Wide Recharge Days
Peer-based incentive "Cheer" awards
"All in to Win" bonus Program
Tuition Reimbursement Program

To know more about the benefits and culture at Veradigm, please visit the links mentioned below: -

Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.

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