We are looking for Manager/ SM – O2C (US Healthcare) for a global leader in business process and technology management based at Hyderabad.
Our Client is a leader in managing business processes, offering a broad portfolio of core enterprise and industry-specific services. The Company’s approach puts process in the forefront, coupling deep process knowledge and insights with focused IT capabilities, targeted analytics and pragmatic reengineering to deliver an integrated solution. Services are seamlessly delivered from a global network of centers to meet a client’s business objectives, cultural and language needs and cost reduction strategy.
Designation: M and SM
Job Role: OTC
CTC: Salary- 8- 13 lacs
Role Type: Supervision
Location of Posting: Hyderabad- DLF
Shift Timing: 6pm to 3 am (7 to 4)
Reporting Structure: AVP OTC
Immediate OJT Travel: No /Yes
Minimum Qualification: Post Graduation
Experience: Minimum 8 yrs of relevant work experience
Required Skill Set:
Minimum Requirements:
Communication
a) Internal : Strong internal facilitation Skills
b) External : Strong customer management and presentation skills, Good Communication skills
Educational Qualifications
a) Mandatory: Post Graduation
b) Desirable: MBA
Type of Experience
- 8+ years experience in healthcare RCM order to cash Processes, Should have handled operations and transitions. Preferably worked in a healthcare RCM in a BPO/ pharma
Key Roles & Responsibilities
- Will be managing a team of 80 people in AR, Billing and collections and Audits for healthcare RCM for a US pharma retail giant.
Should have the below mentioned domain expertise
1. 8 + years experience of RCM in US health care industry
2. Understanding of Explanation of Benefits
3. Understanding of US healthcare billing forms & procedures
4. Experience of transmitting claims through clearing house
5. Experience of working with Physicians & paramedics to obtain Chart notes & CMN's
6. Experience of denials management in healthcare RCM
7. Experience of contacting third party & government payer
8. Processing appeals and working with Letters of Medical necessity & chart notes
9. Generate assignment of benefits
10. Allocation of incoming payments on a daily bases
11. Acquirement of payment details
12. Processing of Over payment refunds
13. Lock box processing
14. Cash reconciliation
15. Understanding of EDI 835 files
16. Knowledge of reports - unallocated cash, open items, operational report
17. Accounts reconciliation
Competencies
1. Functional :- Understanding of Healthcare RCM order to cash processes, Previous exposure of handling large teams in RCM domain
2. Behavioral :- Strong communication/ written skills/ presentation skills
If Interested, Pls forward your updated resume alongwith the below mentioned details :
Total Exp:
Exp in Procurement :
Exp as a Buyer (Yrs) :
Willingness to work in US shift :
Current Company :
Current Desgn :
Current Location :
Current CTC :
Expected CTC :
Notice Period :
PLease send your resume to ruchika.wc@gmail.com
Ruchika Bhardwaj
Leadership Hiring
WizeCareers, New Delhi
+91 750-82-53531
http://in.linkedin.com/in/ruchikab
