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    Job · 12940947

    HYDERABAD · FULLTIME

    Operations Manager

    R1 RCM logo

    R1 RCM

    Hyderabad · onsite · Posted 61d ago

    Sourced fromNaukri
    Undisclosed10–15 yrsfulltimeHyderabad

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    Section · 01

    About this role

    R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industrys most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.
    With over 30,000 employees globally and a robust presence in India, comprising over 17,000 employees across Delhi NCR, Hyderabad, Bangalore, and Chennai, we foster an inclusive culture where every team member feels valued and empowered. Our mission is to transform the healthcare industry by driving efficiency for healthcare systems, hospitals, and physician practices, continuously striving to make healthcare work better for everyone.
    Designation: Operations Manager
    Location: Hyderabad
    Reports to (level of category): Senior Operations Manager

    Role Objective
    Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.
    Essential Duties and Responsibilities
    Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.
    Day-to-day operations
    People Management (Work Allocation, On job support, Feedback Team building)
    Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP)
    Reports (Internal and Client performance reports)
    Work allocation strategy
    CMS 1500 UB04 AR experience is mandatory.
    Span of control - 80 to 100
    Thorough knowledge of all AR scenarios and Denials
    Expertise in both Federal and Commercial payor mix
    Excellent interpersonal skills
    Should be capable of interacting with US clients and manage escalations
    Qualifications
    • Graduate in any discipline from a recognized educational institute
    • Good analytical skills and proficiency with MS Word, Excel and PowerPoint
    • Good communication Skills (both written verbal)
    Skill Set
    • Candidates should be good in Denial Management
    • Candidate should have knowledge of Medicare; Medicaid ICD CPT codes used on Denials.
    • Ability to interact positively with team members, peer group and seniors.
    • Demonstrated ability to exceed performance targets.
    • Ability to effectively prioritize individual and team responsibilities.
    • Communicates well in front of groups, both large and small.
    Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
    Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit:
    Visit us on

    Sourced from naukri

    Section · 02

    Skills

    AutomationCMSCash Postinganalytical thinkinghealthcare industrycustomer successDenial ManagementMedicaidmedicareAnalyticsAR Follow UPCPT Codeshealthcare systemsHealthcareCommunication SkillsWordcomplianceArtificial Intelligence

    Section · Company

    About R1 RCM

    R1 RCM logo

    R1 RCM

    BPO

    16.6k+

    employees

    2007

    19 years old

    Gurgaon / Gurugram, Haryana

    India

    About

    R1 is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers.

    Industries

    BPO

    Employee ratings

    4,584 reviews

    3.8/ 5

    Culture

    3.7

    Career growth

    3.3

    Work-life

    3.7

    Employees rate it well for

    Senior Management515Salary366Work Culture334Work Environment331Job Security265

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