Manager RCM Operations

Manager RCM Operations

Responsibilities of Operations Manager

• Managing everyday operations of the team, inclusive of team attrition to minimize any negative impact in the process.
• Conduct quarterly assessments of the team leaders and team coach skip levels and provide helpful feedback to enhance performance. Also, to ascertain the difficulties and problems reported by the users.
• Perform periodical (Monthly and quarterly) reviews for Assistant Manager and give constructive feedback to improve performance.
• Identify development needs and ensure training fulfilment for the team to be tracked against the training plan.
• Work with Process excellence team to identify, recommend and implement process improvement.
• Regular monitor of Practice Health.
• Ensuring that the TruBridge scorecard is progressing in the desired manner. If a declining trend is seen, should collaborate with the assistant manager and team leader to find the issue and fix it.
• Monitor Payment / Denial trend from each payer and should report any variance to specific team (CS/Payer Specific).
• Evaluates staffing needs, proposes and assists with the approval process of staffing additions, and develops plans to meet staffing needs of each location within the assigned practices.
• Define and review KRAs with the Assistant Manager and create a growth path for the team members.
• Make sure newly transitioned client are coordinated with the CS, & other department, & required training provided to the team.
• Manage and handle effectively escalations raised by the clients.
• Respond to clients on any process related queries and manage 2nd level escalations.
• Analyse reports to determine when, how and why decrease in clients AR; includes denials, unbilled, credit issues and communicate with client to resolve the issue.
• Maintain standardized operational workflows to ensure efficiencies, quality outcomes and maximized revenue.
• Track clients AR productivity (charge, payments, collections, adjustments) on a daily, weekly and/or monthly basis; as needed to ensure the client and company expectations are met.
• Responsible for implementation and standardization of the policies and procedures.
• Audit procedures to monitor and improve the efficiency of operations.
• The continuous identification implementation of operational best practice through interaction with the wider team/other department/Stake Holders.
• Identifying and highlighting further opportunities for services and process improvements.
• Manage employee retention and engagement.
• Analyse trends impacting charges, coding, collection, and accounts receivable and delegate manageable worklist to staff.
• Contribute to Recruitment through participation in screening and interviewing Assistant Manager, Team Leader, Team Coach and end users profiles.
• Adhere to all company policies, procedures, and business ethics codes and ensure that they are communicated and implemented within the team.
• Experience:  10+ years

Management