Senior Manager - RCMS (AR calling,RCMS,Denials Management)

Job Summary -

A career in our Managed Services team will give you an opportunity to collaborate with many teams to help our clients implement and operate new capabilities, achieve operational efficiencies, and harness the power of technology. Our Revenue Cycle Managed Services team will provide you with the opportunity to act as an extension of our healthcare clients' revenue cycle functions. We specialize in front, middle and back-office revenue cycle functions for hospitals, medical groups, and other providers. We leverage our custom and automated workflow and quality assurance products to enable our clients

to achieve better results, which ultimately allows them to provide better patient care.

Minimum Degree Required (BQ) *:

Bachelor Degree

Degree Preferred:

Required Field(s) of Study (BQ):

Computer Science, Data Analytics, Accounting

Preferred Field(s) of Study:

Minimum Year(s) of Experience (BQ) *: US

10 years of experience

Certification(s) Preferred:

Preferred Knowledge/Skills *:

Demonstrates proven success in roles and extensive abilities to lead client-facing consulting teams, including the following areas:

• Identifying and addressing client needs: build, maintain, and utilize networks of client relationships;
• Managing resource requirements, project workflow, budgets and status updates;
• Managing and conducting quantitative and qualitative analyses of large and complex dat;a
• Examining feasibility of activities from short and long term perspective;
• Communicating effectively in written and oral formats to various situations and audiences; and,
• Leveraging MS Excel, PowerPoint, Word, Project, Visio to communicate effectively in written and oral formats to various situations and audiences.
• US Hospital and/or Medical Group Accounts Receivable Management
• US Hospital and/or Medical Group Performance Reporting and KPI Improvement
• US Healthcare Revenue Cycle Performance Management Reporting
• US Healthcare Commercial and Managed Care Insurance Claim Management/Billing/Claim Edit Resolution
• US Healthcare Medicare and Medicaid Insurance Claim Management/Billing/Claim Edit Resolution
• US Healthcare Denials Management (technical and clinical)
• US Healthcare Underpayment/Payment Variance Management
• Ability to lead client-facing consulting teams
• Strong Client relationship skills
• Ability to analyze complex data
• Resource management
• Project workflow management
• Strong working knowledge of MS office tools
• Strong stakeholder management skills
• Thorough understanding of state and federal regulations
• Epic Resolute, HB and PB Patient Accounting
• Cerner RevElate Patient Accounting
• Meditech Patient Accounting
• Experience Level: 16 to 22 years.
• Shift timings: Flexible to work in night shifts (US Time zone)
• Preferred Qualification: Bachelors degree in finance or Any Graduate

PMS Experience:

• Epic HB & PB experience is Mandatory