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.

Essential Duties and 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.

Skill Set

• 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.

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)