Director - RCM

Job Description

Job Title:
Director - RCM
Report To:
VP RCM / Sr.VP RCM
Experience:
14+ Years
Qualification:
Any graduate
Location:
Bangalore
Shift Time:
12:00 PM - 9:00 PM - Mid shift ( Flexible to extend )
Mode:
Work from office
Terms-Fulltime/Part time/Contractual:
Full-time
Job Summary
The Director of RCM is responsible for the direction and leadership of operational, financial, programmatic, educational, and workforce management for Professional Coding. This includes establishing, meeting, and continuously monitoring the goals and objectives while maintaining alignment with the strategic goals and objectives for Calpion Inc. While the range of duties and responsibilities is broad and varied, the position includes directing the day-to-day operations, budgeting, financial management, and human resource management. The Director works closely with a variety of stakeholders, coordinating the activities of Professional Coding across the enterprise.
Key Responsibilities
Review performance achievements and targets regularly with AGM/ OM/ and provide strategic direction to improve service delivery
Identify and resolve problem situations as a final point of escalation
Improve customer satisfaction by providing better customer experience
Ensure Operations teams consistently meet predetermined metrics to achieve business objectives and customer SLAs
Ensure contingency plans are in place for all services, including business recovery/Continuity plans
Managing operations, including the performance of the team attrition, to minimize any negative impact on the process
Make sure newly transitioned projects are coordinated with the CSM training provided to the teams when required
Review client/ internal reports and responsible for completing process-related deliverables as per client requirement
Continually improve the processes
Leverage and adopt technology to improve performance and streamline the processes
Manage the processes within the set Gross/Net Margin goal (Manage the P & L)
Create a Center of Excellence in the key areas
Review KRAs with the team and manage the performance of the team members.
Work with the team on the career path for the team members
Identifying and implementing ways to build better team effectiveness by encouraging a healthy environment for the team
Work on the capacity planning/ resource planning vs. forecasted workload with the clients and effective resource utilization
Coordinate with HRBP on HR-related functions and policies
Work with Support teams to facilitate smooth operation workflow
Maintain compliance in the process with HIPAA and ISO standards and adhere to company policies
Mandatory Skills
14+ years of total work experience in the US Healthcare industry.
7+ years in a leadership position (Operations Manager & above) in small/ mid-size RCM operations, proven experience as Operations Manager/ AGM/ similar role, preferably in the provider side of the business
Experience in managing multiple teams/ locations and executing complex processes
Good with numbers, metrics, and planning
Outstanding communication and negotiation skills
Excellent organizational and leadership ability
Good problem-solving aptitude and Analytical skills
Desired skills
Experience managing a team size of 500+
Experience in large-volume billing
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