27/12 Sowmini
Consultant at Innoquest

Views:869 Applications:68 Rec. Actions:Recruiter Actions:23

GM/AVP - Operations - Healthcare - Revenue Cycle Management - BPO (15-20 yrs)

Hyderabad Job Code: 648190

Key attributes for RCM Practice Lead

1. Solutioning capability

2. In depth knowledge of all ( 70-80 % ) RCM platforms

3. Various Pricing Strategy and points used by the market

4. Through understanding of the RCM market in the US and India (market research etc.)

5. Denial Mmgt. SME

6. On-shore experience preferable

7. End to End understanding of the Industry

8. Technology Evangelist

9. Lastly, Operations Manager at heart

Desired Skills -

- Graduate / Post graduate

- 15-20 years- overall experience

- Knowledge in US healthcare industry and experience in RCM process for 10-15 years is mandatory

- Should come with experience in RCM solutioning/solution design

- Team handling skills is a mandate.

Domain expertise, if any: Healthcare BPO industry

Primary responsibilities:

Customer related:

- Keep abreast with the process of revenue cycle management (A/R) in the healthcare industry.

- Demonstrates thorough knowledge of the job.

- Demonstrates good understanding of the performance SLA's and meet the SLA's.

- Understand all binding laws and regulations related to the project.

- Developing in-depth knowledge base among the team members relating to domain and process.

Financials related :

- Responsible for driving quality improvement initiatives to ensure avoidance of penalty.

- Should manage the P&L for the process.

People related :

- Good communication skills, inter personal skills and excellent team handling skills.

- Attrition Management

- Oversee team reviews, submit progress reports of the team to the BUH and conclude appraisals.

- Conduct individual performance reviews and propose the required action plan.

- Active involvement in disciplinary issues arising out of the team.

Process related :

- Ensure project meets all the required Quality parameters - internal and external

- Implement efficiency improvement projects by deploying lean sigma methodology

- Ensure all MIS reports go on time.

- Participation in conference calls on subject matters whenever necessary.

- To be able to take on additional responsibilities for the team if required.

- Monitoring and assisting the quality of the work done by the team.

- Updating management on team performance.

- Co-coordinating with the client on process related issues and updates.

- Identifying, recommending and implementing ways to increase the quality of operating teams, with productivity as a bonding CTQ.

- Client co-ordination on overall process progress and monitoring of issues.

Secondary responsibilities (if any) :

- Customer related

- Financial related

People related :

- Ability to work with a diverse population.

- Ensure the process follows strict adherence to the process workflow and apt behavior is observed.

- Ensure good leaders are developed.

- Final point of Escalation of issues/concerns with the support groups i.e., HR, Admin, TSG, QAG and Finance.

- Handling disciplinary issues and administrative issues of the project.

Process related :

- Put forth queries/concerns of the BUH and address accordingly.

- Ensure the skill inventory of the project.

- Counselling of team members on improving Quality & productivity.

- Reviewing continuous quality improvements processes.

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