Associate Operations Manager (RCM-AR Follow-up)

About the Company - R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.

About the Role - Designation : Associate Operations Manager Reports to (level of category) : Manager - Operations Role Objective AR is the most essential part in the RCM cycle. It is usually the last step. After Denial management (AR), again the cycle starts till the payment is made by the insurance company.

Responsibilities

• Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.
• Should be able to manage a team of 25-30 FTEs
• FTEs will be directly reporting to AM
• Will be responsible to resolve queries, account reviews and provide training in case required
• Drive production and quality to the expected level
• Responsible to identify production and quality issues and to put plans in place for improvement
• Analyze data to identify payer issues & challenges and fixes
• Should work towards team engagement and retention/absenteeism
• Will be responsible to lead internal and external calls.
• Performance management.
• First level of escalation.
• Work in all shifts on a rotational basis.
• Need to be cost efficient with regards to processes, resource utilization and overall constant cost management.
• Must operate utilizing aggressive operating metrics.

Qualifications - Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MCA, B. Tech & Freshers) Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM) Good communication Skills (both written & verbal)

Required Skills

• Candidate should be good in Denial Management
• Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials
• Good domain knowledge
• Ability to interact positively with team members, peer group and seniors.
• Demonstrated ability to exceed performance targets
• Ability to effectively prioritize individual and team responsibilities
• Communicates well in front of groups, both large and small.

Pay range and compensation package - Best in the industry