22 Aug
|
Datamatics
|
Puducherry
22 Aug
Datamatics
Puducherry
Role & responsibilities
Operational Management
- Lead and manage end-to-end Payment Posting operations
- Oversee Payor Mapping activities to ensure accurate configuration and alignment of payor codes, plan codes, and remittance files with client/payor systems.
- Drive daily, weekly, and monthly production, quality, and turnaround time (TAT) targets across the team.
- Ensure accurate and timely posting of insurance and patient payments, adjustments, and denials.
- Manage end-to-end Payment Posting operations across insurance and patient payments.
- Ensure timely processing of ERA, EOB, EFT, patient payments, and electronic remittances.
- Establish effective controls for unapplied cash, unidentified payments, overpayments, refunds, and payment discrepancies
Denial & Correspondence Management
- Provide guidance on denial codes, reason codes (CARC/RARC), and remark codes to ensure correct identification, categorization, and routing of denials.
- Oversee correspondence capturing processes to ensure timely and accurate documentation of payor communications, EOB notes,
and denial trends.
Team Leadership
- Manage a team of 100+ associates, including Team Leads, Assistant Managers/Supervisors, Quality Analysts, and Payment Posting Executives.
- Build a solid second line of leadership through mentoring, coaching, and structured performance management.
- Drive employee engagement, retention, and career development initiatives within the team.
- Conduct regular one-on-ones, team huddles, and performance reviews.
Quality & Compliance
- Ensure adherence to HIPAA and other applicable US healthcare compliance and data security standards.
- Monitor quality metrics (accuracy, productivity, TAT) and implement corrective action plans for gaps.
- Partner with the Quality/Training team to design refresher training programs based on error trends.
Process Improvement & Reporting
- Identify process gaps and drive automation/process improvement initiatives to enhance posting accuracy a
📌 Walk-in || Datamatics Puducherry || Manager RCM _ Payment Posting Payor Mapping
🏢 Datamatics
📍 Puducherry