Company Profile:

R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare work better for all’ by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.

Job description:

Designation: Operations Manager

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. 

a) Day-to-day operations

b) People Management (Work Allocation, On job support, Feedback & Team building)

c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP)

d) Reports (Internal and Client performance reports)

e) Work allocation strategy

f) CMS 1500 & UB04 AR experience is mandatory.

g) Span of control - 80 to 100

h) Thorough knowledge of all AR scenarios and Denials

i) Expertise in both Federal and Commercial payor mix

j) Excellent interpersonal skills

h) Should be capable to interact 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

Candidate 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.