R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For™ 2023 by Great Place To Work® Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare simpler’ and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.”
Job title: Associate Ops Manager (US Healthcare)
Work Location: Gurgaon/Tikri/ Hyderabad/ Noida (As per Company Requirement)
Division/Department: FCC (Front End - Operations)
Reports to: Operation Manager – Operations
Overview of Process:
Hiring Front End Leaders for PFSS Department under Sub department: FCC for following Front End LOBs: Scheduling & Eligibility/Authorization Verification Process.
Scheduling - Under Scheduling business, we have multiple workflows and majorly defined ad Shelling & Fax Indexing
Shelling: This is the initial phase wherein FCC team creates the encounter/visits with provided information in host system. An encounter ID gets created and assigned to patient who are scheduled for future date of service. The account then moves to other workflows.
Fax Indexing: Update the clinical to generate order ID for hospitals. It is like shelling process. Only difference is this that fax indexing team directly gets the fax from the hospital through various work drivers and after reviewing them update the required information in to host system to generate the Order ID.
Eligibility and Authorization Verification - In Verification we have three different types of work as following:
Coverage: We verify eligibility, benefits & Authorization for patients who are scheduled for future DOS for services by using website and making calls and update information in various applications, tools, systems.
Authorization: We verify auth requirement for patients who are scheduled for future DOS for services by using website and making calls and update information in various tools & Host systems. In case auth required and then next step is too secure auth before patient avail services.
Services: We do input CPT/DRG code post reviewing the procedure in various tools/Host systems for DOS of patient, so that auth/eligibility can be secured correctly, and residual can be generated.
Job Brief:
We are looking for a responsible individual for this this role who can help to organize and run organizational day to day requirement. We require a candidate to manage the workforces in a way that encourages teamwork, cooperation, productivity improvement & tactfully management of all responsibilities. You should also be able to act proactively to ensure smooth team operations and effective collaboration. Must possess at least basic understanding or awareness around different LOBs of RCM.
Skill Requirement:
Excellent written and verbal communication skills
Strong Knowledge of MS Office, SQL, Analytical skills mandatory
Excellent Personal and Interpersonal skills; Quick Decision making & problem-solving abilities
US Healthcare Domain knowledge and Awareness
Ability to adapt fast paced work culture and deliver results
Stakeholder Management, Time Management, Report Management, Work Management, People Management, Process Management (New & Old Process) etc. and not limited to this only
Should be able to adapt (Unlearn & Learn) as per the Organizational and Business Requirements and work on successful implementation
Understanding of criticality of defined SLAs and delivering the results
To constantly evaluate and adopt measures to improve service levels to meet changing business and client requirements
To schedule resources according to customer estimates to deliver the SLAs and to dynamically adjust the resources whenever necessary to maintain the SLAs
Clear understanding of KRAs and thrive results in line with the desired goals and expectations
Must have chaired Performance Evaluation and Management
Should possess basic understanding of general policy and procedures of day-to-day operations as per market standards
Proactive approach, excellent work ethics
Optimizing resource utilization
Accomplishes department objectives by managing staff; planning and evaluating department activities
Maintains staff by recruiting, selecting, orienting, and training employees
Ensures a safe, secure, and legal work environment
Develops personal growth opportunities
Accomplishes staff results by communicating job expectations; planning, monitoring, and appraising job results
Ensure the team is aware of the combined end goals and establish operation objectives to meet the client deliverables
Experienced in Coaching, counseling, and disciplining employees
Capable to Handle Consequences within the team and managing them
Develops, coordinates, and enforces systems, policies, procedures, and productivity standards
Defines objectives, identifies and evaluates trends and options, chooses a course of action, and evaluates outcomes
High independent thinking skills required to determine root cause of the problem and formulate solution
Handling Work Pressure, Fostering Teamwork, Giving Feedback
Maintains quality service by enforcing quality and customer service standards, analyzing and resolving quality and customer service problems, and recommending system improvements
Contributes to team effort by accomplishing related results as needed
Liaison with inter and intra departmental stakeholders
Monitor process documents, ensure all updates from client are recorded and maintain regular
Qualification: Graduate in Any Stream other than B.Tech.
Experience Range: 2 -4 Years as Assistant Manager or equivalent designation
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com
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