US healthcare / UAE healthcare experience (ERISA/HIPAA/State Mandates)
8 years of experience in Medical Billing, RCM Operations
3+ years in a leadership role managing large scale RCM operations teams
Good analytical & Project Management skills (mandatory)
Demonstrated and clear understanding of end-to-end RCM cycle
Working knowledge of various healthcare IT systems/ billing systems
Worked on Process SLAs, Awareness of ISO, ISMS
Knowledge of six sigma principles and automation
Excellent communication skills.
Primary Responsibilities:
Develops strategic plans and programs for all the business units and ensures that goals and objectives of the Business Units are properly defined and clearly established
Oversee and implement business process improvement through technology enhancement, automation and resource utilization
Leverage data and analytics to optimize staffing model, resource allocation and team member utilization across assigned operational functions
Develop and operationalize an effective implementation process that identifies and ensure the measurement of client value, effectively utilizes both client and internal resources and ensures a successful implementation within expected timelines
Partner with senior leadership to provide input on the productization of the service including value proposition, value realization, and market positioning
Formulating & implementing strategic plans for new technologies to support sustained profitable growth
Requirements1) STRATEGIC THINKING(a) Big Picture Perspective:
Transition Planning and Coordination
Identifying Value additions and Process Improvement Initiatives
(b) Business Acumen:
Process Performance reporting as per the client requirements
ISO and HIPAA compliance (this is key for the role)
Adherence to company policies
Process Metrics review with the senior management and the team
Co-ordinate on Process Quality requirements
Drive Results
(c) Planning & Organizing:
Creating Growth Path/Succession Planning for the process
Effective Resource Utilization
(d) Directing & Monitoring
Define and review KRA of Leads
Manages day to day Operations.
Control Absenteeism and Attrition in the Process
(e) Accountability
Timely reporting of deliverables like Performance Incentive, Internal Dashboards.
Attend to Process Escalation and provide effective solutions
Attend to Client calls, Status Meeting and Client Feedback.
Review and Regulate SOP
(f) Problem Solving & Decision making
Is able to identify problems and take decisions independently
Provides solutions to individual and process related issues
2) PARTNER WITH CUSTOMERS
Passion for excellence
Driving Perfect Service
Driving Formula one and other Developmental Programs for the team
Identifying, recommending and implementing ways to increase the productivity and the quality of the team
3) LEAD PEOPLE
Inspiring Others / Managing Teams
Identify and participate in training / developmental programs
Coaches and mentors Associates & Team Leads
Hiring as per the process requirements
Conducting Performance Appraisals, making recommendation to the Management.
Works with Cross-Functional Teams to ensure that both internal and external customer needs are met.
