Associate Vice President - Operations (RCM)

Credence Global Solutions; Pune District; On-site; INR 1,200,000 - 2,400,000; Full time

Job summary

Credence Global Solutions in Pune is seeking a seasonedOperations leader to drive RCM, collections and denial management with focus on process improvements and client satisfaction. The role involves steering onshore centers for patient payments and insurance billing, coordinating across departments, and guiding transitions and SOPs.

The ideal candidate has hands-on experience in Healthcare RCM, AR & Denial Management, client relationship management, and staff development to build a

Responsibilities

• Drive and lead RCM and collection operations with process improvements
• Perform operational due diligence for new prospective clients
• Develop the Operations strategy aligned to business needs
• Manage onshore centers for Patient collections and Insurance billing
• Coordinate with other departments for smooth process functioning
• Possess experience in project transition
• Oversee Healthcare RCM, AR & Denial Management (voice & Non-voice)
• Engage in client relationship management
• Identify opportunities to expand operations, RFPs, SOPs and DOUs
• Analyze trends in coding, charges, AR and collections and assign tasks to billing team
• Ensure adherence to company policies and provide right responses to inquiries
• Lead staff development including training, coaching and performance assessment
• Motivate and lead a high-performance management team

Job description

• Drive and lead all the RCM and collection operations functions effectively with process improvements of existing processes
• Performing operational due diligence for new prospective clients
• Develop the Operations strategy for the organisation, keeping in mind the business requirements
• Manage onshore centers for Patient collections and Insurance billing
• Coordinate with the other department for smooth functioning of the process
• Should have experience in project transition
• Should have handle entire functions of Healthcare RCM Process, AR & Denial Management (voice & Non voice)
• Exposure on Client Relationship Management.
• Should have experience in expanding operations and work on prospect clients, RFPs, SOP’s and DOU’s etc.
• Analysis of trends affecting coding, charges, accounts receivable, and collection, and assign manageable tasks to billing team
• Knowledge of company policies and procedures to be able to provide the right answers to inquiries from all customers (both internal and external)
• Strong interpersonal skills to be able to effectively relate with the public, patients, organizations, and other employees
• Staff development including training, coaching and competence assessment
• Motivate and lead high performance management team