Operation Manager

EMPClaim Solutions Inc.; Ahmedabad District; On-site; INR 1,200,000 - 2,000,000; Full time

Job summary

Keka Technologies Private Limited seeks an experienced Medical Billing Operations Lead to oversee daily billing activities, ensure high-quality AR and Payment Posting work, and drive performance improvements across multiple specialties. You will coordinate with client managers and internal teams to resolve issues, deliver timely reports, and foster a collaborative, compliant work environment.

You will mentor team members, manage queries, and participate in continuous process optimization to

Qualifications

• Experience leading medical billing teams across multiple specialties.
• Proven ability to manage workload, QA, and performance scorecards.
• Strong communication with client managers and internal departments.

Responsibilities

• Monitors daily operations including work allocation, FTE utilization, meetings, updates, downtime management etc.
• Ensures accurate, efficient, effective, and timely team approach to daily operations of the Medical Billing services to achieve high-quality billing.
• Proactively manages all queries related to billing/Payment Posting/AR and follows up with providers as needed.
• Monitors task quality against billing/Payment Posting/AR guidelines and performance.
• Maintains excellent communication with other RCM cross departments to prevent gaps in end-to-end delivery.
• Provides weekly and monthly reports and analysis covering KPIs, service improvements and risks.
• Evaluates individual performance through goal setting and scorecards; acts as focal point for team communication and issue escalation.
• Encourages knowledge sharing and mentoring within the team and related departments.

Skills

Billing management

Team leadership

Process improvement

Cross-functional collaboration

Six Sigma exposure

Job description

• Monitors daily operations including work allocation, FTE utilization, meetings, updates, downtime management etc.
• Ensures an accurate, efficient, effective, and timely team approach to daily operations of the Medical Billing services so that billing will be of high quality.
• Proactively manages all queries in relation to billing/Payment Posting/AR and follow up with the providers wherever required.
• Monitors teams’ tasks to confirm quality assurance from both - billing /Payment Posting/AR guidelines and performance.
• Excellent communication with other RCM cross departments to ensure no gaps are present in the end- to-end delivery.
• Provides weekly and monthly report and analysis covering agreed account KPIs, service improvements and any potential/real issues/risks. Responsible for identifying Business level issues proactively.
• Evaluates individual performance, through goal setting and performance scorecards (1 on 1 meetings) Being a focal point for the team for communication and issue identification, resolution, and escalation, accordingly.
• Encourages and shares knowledge and skills with concerned departments, including the provision of technical mentoring and coaching of team members where appropriate.
• Responds to issues, queries and concerns of Client Managers as needed and in a timely manner. Confidentiality is maintained and privacy respected.
• Leads and promotes a team environment that enhances partnership and cooperation through effective liaison, communication, and an inclusive approach.

What Sets You Apart — Preferred

• Experience across multiple specialties (urgent care, primary care, multi-specialty, behavioral health, etc.) and multiple PMS platforms
• Six Sigma / Lean exposure with documented process improvement projects
• Experience leading a pod through a payer policy disruption, a major client escalation recovery, or a turnaround on an underperforming account
• Direct exposure to client implementation or transition work — taking a new account from kickoff through stable production