SME/ Process Specialist - RCM

Overview

SME / Process Specialist for Revenue Cycle Management (RCM), leading a team and owning billing operations, metrics reporting and client interaction.

What you'll do

• Handle a team or group of 15 to 20 FTEs.
• Allocate and distribute work to the team and monitor team work.
• Review team performance periodically and recommend performance improvement plans where required.
• Prepare daily, weekly and monthly operational metrics reports from the Practice Management / Billing System and workflow tool using MS Excel.
• Identify trends and patterns from generated reports and initiate action plans to resolve AR issues.
• Create and maintain daily operational scorecards to track and report KPIs; assist in volume forecasting and capacity planning as required.
• Generate and distribute management reports accurately and on time.
• Perform data analysis for periodic reports, including ad hoc requests.
• Establish strong relationships with Team Managers by demonstrating gaps, trends and patterns identified during data and report compilation.
• Suggest process improvements using Lean Six Sigma methodology and suggest automation of repetitive processes.
• Interact effectively with the client.

What you'll need

• 5+ years of industry experience.
• 3+ years of experience in relevant billing functions (a must).
• Thorough understanding of RCM processes: Billing, Cash Posting, Credit Balance, Accounts Receivable, Denial Management and Correspondence review.
• Very good understanding of RCM metrics: Days in AR, Ageing above 90 days, Collections and bad debt.
• Proficient in MS Excel and creating Excel macros.
• Strong ability to analyze raw data, draw conclusions and develop actionable recommendations.
• Ability to handle multiple reporting tasks simultaneously.
• Ability to adapt quickly to new and changing technical environments, with strong analytical, problem-solving and quantitative abilities.
• Solid verbal and written communication skills.
• Graduate in any discipline.

Details

• Willing to work night shift / US timings.
• Location: Chennai - 6th Floor.
• Position level: Associate.