Manager - Rcm Operations

2 days ago


Dubai, United Arab Emirates ACCUMED Full time

**Required Skills**:

- US healthcare / UAE healthcare experience (ERISA/HIPAA/State Mandates)
- 8 years of experience in Medical Billing, RCM Operations
- 3+ years in a leadership role managing large scale RCM operations teams
- Good analytical & Project Management skills (mandatory)
- Demonstrated and clear understanding of end-to-end RCM cycle
- Working knowledge of various healthcare IT systems/ billing systems
- Worked on Process SLAs, Awareness of ISO, ISMS
- Knowledge of six sigma principles and automation
- Excellent communication skills.

**Primary Responsibilities**:

- Develops strategic plans and programs for all the business units and ensures that goals and objectives of the Business Units are properly defined and clearly established
- Oversee and implement business process improvement through technology enhancement, automation and resource utilization
- Leverage data and analytics to optimize staffing model, resource allocation and team member utilization across assigned operational functions
- Develop and operationalize an effective implementation process that identifies and ensure the measurement of client value, effectively utilizes both client and internal resources and ensures a successful implementation within expected timelines
- Partner with senior leadership to provide input on the productization of the service including value proposition, value realization, and market positioning
- Formulating & implementing strategic plans for new technologies to support sustained profitable growth

Requirements1) STRATEGIC THINKING
(a) Big Picture Perspective:

- Transition Planning and Coordination
- Identifying Value additions and Process Improvement Initiatives

(b) Business Acumen:

- Process Performance reporting as per the client requirements
- ISO and HIPAA compliance (this is key for the role)
- Adherence to company policies
- Process Metrics review with the senior management and the team
- Co-ordinate on Process Quality requirements
- Drive Results

(c) Planning & Organizing:

- Creating Growth Path/Succession Planning for the process
- Effective Resource Utilization

(d) Directing & Monitoring
- Define and review KRA of Leads
- Manages day to day Operations.
- Control Absenteeism and Attrition in the Process

(e) Accountability
- Timely reporting of deliverables like Performance Incentive, Internal Dashboards.
- Attend to Process Escalation and provide effective solutions
- Attend to Client calls, Status Meeting and Client Feedback.
- Review and Regulate SOP

(f) Problem Solving & Decision making
- Is able to identify problems and take decisions independently
- Provides solutions to individual and process related issues

2) PARTNER WITH CUSTOMERS
- Passion for excellence
- Driving Perfect Service
- Driving Formula one and other Developmental Programs for the team
- Identifying, recommending and implementing ways to increase the productivity and the quality of the team

3) LEAD PEOPLE
- Inspiring Others / Managing Teams
- Identify and participate in training / developmental programs
- Coaches and mentors Associates & Team Leads
- Hiring as per the process requirements
- Conducting Performance Appraisals, making recommendation to the Management.
- Works with Cross-Functional Teams to ensure that both internal and external customer needs are met.


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