DGM - RCM Services

• Any graduation.
• Master s degree in business administration preferred.
• 10 12 years of overall AR experience, out of which a minimum 5 years in team handling of a team size ranging between 250 to 600 team members.
• Excellent communication skills, both verbal and written.
• Strong managerial, leadership, analytical and interpersonal skills.
• Outstanding organizational skills.
• Hands on Experience in generating reports using MS Office Excel, word and MS power point.
• Willingness to work continuously in night shifts

Key Responsibilities:

• Oversees the daily operations of the AR unit including workload and staffing; hiring, disciplining, and performance appraisals; training; and monitoring quality of work.
• Develops longrange and shortterm goals, objectives, plans, and programs and ensures they are implemented.
• Assists in planning, developing, and controlling the budget, including staffing costs, capital equipment, and operations of the AR unit.
• Evaluates the impact of innovations and changes in programs, policies, and procedures for the AR unit.
• Designs and implements systems and methods to improve data accessibility. Identifies, assesses, and resolves problems. Prepares administrative reports.
• Oversees and monitors the AR compliance program. Develops and coordinates educational and training programs regarding elements of the AR compliance program such as appropriate documentation and accurate AR to all appropriate staff.
• Ensures the appropriate dissemination and communication of regulatory, policy, and guideline changes.
• Conducts and oversees AR audit efforts and coordinates monitoring of AR accuracy and documentation adequacy.
• Reports noncompliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of followup audits.
• Conducts trend analyses to identify patterns and variations in AR practices.
• Reviews claim denials and rejections pertaining to AR and medical necessity issues and, when necessary, implements corrective action plan to prevent similar denials and rejections from recurring.