Job Description_Lead Assistant Manager - Operations-RCM Payment Posting

Job Name:

Lead Assistant Manager -Payment Posting and Correspondence

Position Title:

Lead Assistant Manager

Band:

B2

ERP Full Position ID:

Reporting to:

Manager/Sr.Manager

Location/Site:

EXL India, Chennai

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.

`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 alearning 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 theperformance 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 anincrease in theexecution 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 toboth internal and external client emails
• Skillsets handling internal and external client calls