Associate Manager-Operations
Job Title:
Associate Manager-Operations
Job Description:
We have an urgent opening for our Healthcare Services division at Hyderabad location. Please find the below Job Description:
Position: Associate Manager / Manager - Operations (RCM)
Qualification: Graduate/Post graduate in any discipline
Experience: 8+ Years of experience in US Healthcare Operations (Preferably from Provider Side)
Work Location: Banjara Hills, Road.1, Hyderabad.
The Revenue Cycle Manager (Billing) is responsible for planning, organizing, and controlling the day-to-day revenue cycle operational processes for their assigned functions and all related duties to increase the effectiveness, efficiency and compliance of the revenue cycle function
Experience Range:
8 - 12 years
Educational Qualifications:
Any graduation
Job Responsibilities:
• Reviews billing metrics to include reconciliation of unbilled, uncoded, and submitted claims to ensure throughput.
• Deep level knowledge of UB-04 revenue codes, HCPCS, CPT-4, ICD-10, and modifiers
• Understands the process of electronic claims submission and construct of the 837 and 835 data sets
• Understands billing rules including billing edits, payor specific edits, structuring bridge routines and common claims adjustment reason codes and remittance advice remark codes (CARC and RARC)
• Contributes to the development of short and long-term organizational and planning strategy.
• Drives departmental initiatives to ensure long-term operating excellence.
• Translates high-level organizational goals into departmental and tactical initiatives.
• Responsible for coaching, training, and developing staff. Assigns work, sets completion dates, reviews work and manages performance in accordance with organization policies, procedures, and performance management processes.
• Oversees and participates in quarterly and annual financial audits with internal and/or external auditors.
• Serves as a key participant in system and process improvement projects that are sponsored by the department.
• Assists with the development and modification of patient billing procedures to allow optimal income generation.
• Participates in special projects assigned by organizational leaders.
• Performs other duties as required
Skills Required:
Good communication , People Management Skill , Time management Skill , Adaptability , Problem Solving Skill
Candidate Attributes:
Deep level knowledge of UB-04 & CMS 1500 revenue codes.
• Communication skills - able to communicate in a clear, articulate, and professional manner on a daily basis to solve problems as these arise.
• Interpersonal and Customer Relations skills – able to maintain a professional and courteous attitude with employees and third-party individuals at all times.
• Planning/Organizational skills - able to prioritize work activities, use time efficiently and work through projects in a self-motivated manner.
• Adaptability – able to adapt to rapid changes in the work environment, manage competing demands and able to deal with frequent change, delays or unexpected events.
• Problem-solving skills – able to identify and resolve problems in a timely manner; gather and analyze information skillfully; able to apply independent judgment on a regular basis in making decisions.
• Time Management skills – able to use time effectively in a semi-supervised fashion, pursuing other activities when regular duties have reduced in volume; able to complete projects in a timely manner. Will work with occasional supervision over repetitive tasks. New duties or project type tasks may receive “strict” or “direct” supervision, depending upon the nature of the task(s).
Job Code: KL-OPS-OPSM-HYD-1
About Us
iHealth Innovations, an innovation-enabled revenue performance and advisory company for physician practices and medical groups is a Product driven organisation and helps providers successfully navigate to the future of healthcare.
iHealth is the only innovator focused on integrating revenue cycle management with business intelligence, analytics, care coordination and population health which can help hospitals and physicians increase their existing revenue stream, uncover new payment opportunities and elevate RCM to Revenue Cycle Performance™.
iHealth's new W.R.A.P (Wellness Revenue Assistance Program™) service offers provider education, EHR workflow optimization and a regulatory focused approach to monitoring program performance metrics including MACRA.
iHealth is the only innovator focused on integrating revenue cycle management with business intelligence, analytics, care coordination and population health which can help hospitals and physicians increase their existing revenue stream, uncover new payment opportunities and elevate RCM to Revenue Cycle Performance™.
iHealth's new W.R.A.P (Wellness Revenue Assistance Program™) service offers provider education, EHR workflow optimization and a regulatory focused approach to monitoring program performance metrics including MACRA.
Why Us?
iHealth Innovations is an Employer of Choice (EOC) targeting to recruit more than 500 new employees in 2017. IHealth offers a very competitive compensation and benefits package along with a dynamic and challenging environment.
• You will be part of the growth which would help them to move to the next level in your careers.
• Gives an Opportunity to learn from some of the healthcare veterans that are a part of iHealth.
• An employee friendly management with an open-door policy and benefits at par with the major RCM companies.
• Competitive Environment
• Encourage Learning by allocating good budget for learning
• You will be part of the growth which would help them to move to the next level in your careers.
• Gives an Opportunity to learn from some of the healthcare veterans that are a part of iHealth.
• An employee friendly management with an open-door policy and benefits at par with the major RCM companies.
• Competitive Environment
• Encourage Learning by allocating good budget for learning
