Manager AR_Medical Billing_RCM

Job Family:

EBO Accounts Receivable (India)

Travel Required:

Up to 10%

Clearance Required:

None

Essential Duties and Responsibilities 

• Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.
• Day-to-day operations (Plan, monitor, direct and evaluate Associates production).
• 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
• Span of control – 100 to 150
• Thorough knowledge of all AR scenarios and Denials
• Expertise in both Federal and Commercial payor mix
• Should be capable to interact with US clients and manage escalations.
• 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.
• Develop an understanding of the workflows, procedures, and specific criteria for each assigned client.
• Identifies operational priorities and other workflow issues; ensures a constant flow of work so that delivery schedules are met.
• Ensure that schedules are met and communicates with the leadership team if situations occur that hinder meeting deadlines.   
• If there is system issues or other emergencies delay in Associates, implements measures/schedules to return to established Associates schedules at the earliest possible time.

Emphasize on productivity goals and takes action to ensure effective and efficient use of staff is maintained.  Creatively plan for allocation of extra capacity for backlog Associates.

• Assists in coordinating scheduled quality meetings with the production staff.
• Active involvement in project launch sessions to understand the Associates process and track the daily progress during the launch  
• Demonstrated ability to exceed performance targets.
• Ability to effectively prioritize individual and team responsibilities and communicates well in front of groups, both large and small
• Identify opportunities for Automation in the process and work with IT team for implementation.
• Excellent interpersonal skills
• Good analytical skills and proficiency with MS Word, Excel, and PowerPoint
• Good communication Skills (both written & verbal) Skill Set

What You Will Need:

• Must have bachelor’s or master’s Degree.
• 10+ Years of Experience in the Health Care industry
• Must have experience in managing and mentoring large teams for at least 3+ years.
• Good communication skills, both verbal and written.

What Would Be Nice to Have:

• Strong attention to detail and a highly reliable work ethic.
• Must be a keen learner and a flexible mindset.
• A patient demeanor and good leadership quality.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.