Lead Associate

R1 RCM

Early Applicant

Posted 5 months ago
Be among the first 10 applicants

Fresher

Gurugram, Gurugram, India

Job Description

Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash - posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.

Essential Duties and Responsibilities

Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.
Analysis data to identify process gaps, prepare reports and share findings for Metrics improvement.
Able to interact independently with counterparts.
Performance management

First level of escalation
Work in all shifts on a rotational basis WFO only
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 MBA, MCA B.Tech Freshers)

Good analytical skills and proficiency with MS Word, Excel and Powerpoint

Good communication Skills (both written & verbal)

Skill Set

Candidate should be good in Denial Management

Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials

Ability to interact positively with team members, peer group and seniors.

Subject matter expert in AR follow up

Demonstrated ability to exceed performance targets

Ability to effectively prioritize individual and team responsibilities

Communicates well in front of groups, both large and smal l.

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.