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Medical Coder

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Provider Reimbursement Specialist

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Senior Manager - Provider Reimbursement (US Healthcare RCM - AR Calling) Operations Management: a. Daily Oversight: Plan, monitor, and evaluate the performance of the entire team, ensuring that production targets and quality standards are met. b. Schedule Coordination: Ensure that daily schedules are adhered to; communicate with RCM Head of Department and other stakeholder about any challenges that may hinder deadlines. c. Workflow Optimization: Identify operational priorities and workflow challenges; adjust staff assignments to maintain a consistent workflow. d. Ensure alignment of service quality parameters to the departmental metrics as well as those SLAs as defined by the organization and clients e. Collaborate on Operations dashboards (Tableau, DSS, Project Health, EWS) and ensure timely reporting to the Head of the Department/Other Management stakeholders f. Identify, assess, and implement cost control measures across teams/processes Policy Development: a. Process Improvement: Assist in the development and revision of operational policies and procedures to enhance workflow efficiency. b. Client Understanding: Develop a comprehensive understanding of workflows, procedures, and specific requirements for every client. Training and Development: a. Staff Training: Provide training and support to Associates on best practices in billing and provider reimbursement processes. b. Performance Reviews: Conduct regular performance evaluations, offering feedback and coaching to promote professional growth. - Issue Resolution: a. Query Management: Resolve queries and conduct thorough account reviews to ensure accuracy in billing and collections. b. Denial Management: Demonstrate expertise in denial management, including understanding of Medicare, Medicaid, and ICD and CPT coding, to effectively address and resolve denials. - Communication and Reporting: a. Periodical Updates: Ensure timely sending of acknowledgment emails regarding periodical updates to relevant stakeholders. b. Data Analysis: Analyze data to identify payer issues and challenges; implement solutions to address these concerns. c. Collaborate on Operations dashboards (Tableau, DSS, Project Health, EWS) and ensure timely reporting to the RCM Operations Head as well as our Bedford clients Team Engagement: a. Ensure timely preparation and review of goals and development plans for all employees within the team. Ensure accurate handling and completion of progress reviews on performance and development plans within agreed timescales and provide ongoing feedback to all managers within Billing Operations b. Engagement Initiatives: Foster team engagement and work towards reducing absenteeism and turnover. c. Lead Communication: Serve as the primary contact for internal and external communications related to revenue cycle processes. d. Feedback Loop: Provide feedback on project performance and suggest enhancements based on team experiences e. To provide strategic guidance to the Operations managers to ensure service delivery is within the defined SLAs Performance Management: a. Consistently meet predetermined metrics to achieve business objectives and customer SLAs and ensure contingency plans are in place for all services to include business recovery plans. b. Escalation Point: Act as the first level of escalation for operational issues, addressing concerns promptly and effectively. People Related a. Create a high performance, fair and exciting work environment that provides motivation and development opportunities for the teams. b. Ensure sharing of knowledge and best practices within the company and counsel managers to enhance performance and arrest attrition. Motivate and develop managers to include specific attention to individual development. c. Handle all employee related escalation if intervention required

Coimbatore

LogixHealth -  Senior Manager - Provider Reimbursement - US Healthcare RCM - AR Calling 

Job Description for LogixHealth -  Senior Manager - Provider Reimbursement - US Healthcare RCM - AR Calling  in LogixHealth Solutions Pvt. Ltd in  Coimbatore for (13-22) years of experience. Apply Now!

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