Associate Vice President (U.S Healthcare)

Credence Global Solutions; Pune District; On-site; INR 900,000 - 1,500,000; Full time

Job summary

Credence Global Solutions is seeking a seasoned Healthcare RCM Operations Manager to lead end-to-end revenue cycle management including AR and denial management, with focus on process improvements and client satisfaction.

You will oversee onshore centers for patient collections and insurance billing, drive performance, coach teams, and coordinate across departments to ensure seamless operations and growth with prospective clients and RFPs.

Responsibilities

• 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

Job description

RCM

Job Roles & Responsibilities

• 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

Kindly Note:At Credence, we uphold the highest standards of integrity in our recruitment process. We do not charge any fees at any stage of the hiring process, and we strictly prohibit any third parties, vendors, or individuals from soliciting money in exchange for job opportunities at Credence.

If you are approached by anyone requesting payment or offering you a position at Credence in exchange for money, do not engage with them. Such actions are fraudulent and not authorized by Credence. Please report any such incidents immediately to our official HR team at [e-mail]

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