Manager RCM Operations

Responsibilities of Operations Manager

Managing everyday operations of the team, inclusive of team attrition to minimize any negative impact in the process.
Conduct quarterly assessments of the team leaders and team coach skip levels and provide helpful feedback to enhance performance. Also, to ascertain the difficulties and problems reported by the users.
Perform periodical (Monthly and quarterly) reviews for Assistant Manager and give constructive feedback to improve performance.
Identify development needs and ensure training fulfilment for the team to be tracked against the training plan.
Work with Process excellence team to identify, recommend and implement process improvement.
Regular monitor of Practice Health.
Ensuring that the Viewgol scorecard is progressing in the desired manner. If a declining trend is seen, should collaborate with the assistant manager and team leader to find the issue and fix it.
Monitor Payment / Denial trend from each payer and should report any variance to specific team (CS/Payer Specific).
Evaluates staffing needs, proposes and assists with the approval process of staffing additions, and develops plans to meet staffing needs of each location within the assigned practices.
Define and review KRAs with the Assistant Manager and create a growth path for the team members.
Make sure newly transitioned client are coordinated with the CS, & other department, & required training provided to the team.
Manage and handle effectively escalations raised by the clients.
Respond to clients on any process related queries and manage 2nd level escalations.
Analyse reports to determine when, how and why decrease in clients AR; includes denials, unbilled, credit issues and communicate with client to resolve the issue.
Maintain standardized operational workflows to ensure efficiencies, quality outcomes and maximized revenue.
Track clients AR productivity (charge, payments, collections, adjustments) on a daily, weekly and/or monthly basis; as needed to ensure the client and company expectations are met.
Responsible for implementation and standardization of the policies and procedures.
Audit procedures to monitor and improve the efficiency of operations.
The continuous identification implementation of operational best practice through interaction with the wider team/other department/Stake Holders.
Identifying and highlighting further opportunities for services and process improvements.
Manage employee retention and engagement.
Analyse trends impacting charges, coding, collection, and accounts receivable and delegate manageable worklist to staff.
Contribute to Recruitment through participation in screening and interviewing Assistant Manager, Team Leader, Team Coach and end users profiles.
Adhere to all company policies, procedures, and business ethics codes and ensure that they are communicated and implemented within the team.
Experience: 10+ years