Operations Manager

Cotiviti Hiring | Operations Manager | E&M Speciality | Coimbatore

Job Location : Coimbatore (Work from Office)

Role : Operations Manager

Speciality : Any Speciality coding experience (Preferably E/M)

Educational Requirement : Any degree (Preferably MBBS , BHMS, BAMS, BPT )

Experience : Min 10+ Years

Certification : CPC is Mandatory

Experience requirements:

• Excellent verbal and communication skills.
• Minimum 10 years of experience in medical coding/ US Healthcare operations/ BPO-KPO and minimum 2 years of experience as a Sr TL or AM title.
• Experience in US Healthcare, medical coding, medical billing, RCM health plan operations strongly preferred.
• Possesses knowledge of healthcare claims payment policy and processing specifically CMS, Medicaid regulations, AAOS, ICD-10, CPT & HCPCS, etc.
• Experience in Healthcare management with experience in claim processing, data management & data analysis.

Principal Duties/ Responsibilities:

• Effectively lead a team of program leaders on Healthcare projects.
• Meets daily/monthly production and quality targets.
• Maintains an exemplary level of accuracy in all work.
• Handles external complaints: Analyzing the situation and creating a corrective course of action.
• Communicates effectively and timely with upstream functional areas to resolve issues.
• Reviews team performance based on Historical Data and Quality Scores generated by MIS and QA departments.
• Review documentation entered by subordinates in order to maintain data quality.
• Actively involved in client communications to discuss feedback on agents performance.
• Minimizes absenteeism and controls attrition within the team by creating the right environment for them to work in.
• Liaison between support function and Operations to ensure smooth functioning of day-to-day activities.
• Takes part in regular calibration calls along with colleagues, QCAs and on site managers to ensure parity and compliance on process knowledge.
• Responsible for data management in terms of dashboards and sending reports to clients.
• Ensuring that the required Login Hrs, Productive Time and other standards set by the client are adhered to.
• Organizes continuous feedback sessions for the team to sensitize them towards important quality parameters.
• Assist and lead the team in the modification of process guidelines or other materials associated with new functionality and/or reports.
• Works collaboratively to achieve results

Interested candidates can apply or share your updated resume to the below email id.

[email removed]

Regards,

Abdul Rahuman | Assistant Manager - TA

[phone removed]

Cotiviti India Pvt Ltd