09 Sep
|
Shai Health
|
Chennai
09 Sep
Shai Health
Chennai
Required Skills:
- Strong understanding of the healthcare revenue cycle, including billing, collections, and reimbursement.
- Proven leadership experience with the ability to coach and mentor an AR team to meet performance goals.
- Excellent communication skills for providing feedback, guidance, and support to team members.
- Ability to identify performance gaps and implement corrective measures to improve team efficiency and accuracy.
- Strong analytical skills to assess AR aging, claim trends, and other key performance indicators (KPIs).
- Strong problem-solving skills and ability to handle complex or escalated issues effectively.
Preferred Skills:
- Minimum of 4 years of experience in AR management or a supervisory/coaching role within the healthcare revenue cycle.
- Knowledge of payer requirements, insurance policies, and government regulations
- Ability to implement process improvements to enhance AR efficiency and reduce claim denials.
- Requires to have in-dept knowledge in reviewing and handling ATB
- Daily Work strategy to be implemented to the team for better progress
- Handling Client emails & escalations
- Should possess robust attention to detail
- Identifying bulk denials or trends to reduce ATB
- Strong knowledge in preparing reports, dashboards, PPTs and should be familiar to provide education or knowledge to the team from the reports
- Creating and handling accesses to provider portals
- Should ensure work is completed within TAT
:
Key Responsibilities:
- Coaching &
- Training:
Provide continuous coaching, mentoring, and professional development to the AR team, focusing on skill-building,
performance improvement, and goal attainment.
- Performance Monitoring: Monitor the AR teams performance through key metrics, including AR aging, collections, and claim resolution. Provide feedback and guidance to ensure targets are met.
- Process Improvement: Identify areas where processes can be improved to increase efficiency, reduce claim denials, and streamline the revenue cycle workflow. Lead the implementation of new strategies and best practices.
- Billing &
- Collections Oversight:
Assist the team in handling billing, collections, and payment issues, ensuring that all processes comply with regulatory standards and organizational policies.
- Denial Management: Guide the team on effective strategies for managing claim denials and rejections, helping to resolve issues and minimize future occurrences.
- AR Metrics: Monitor aging reports (90+ days) and prioritize High Dollar accounts, Days in AR, Clean claim rates, and Collection ratios to measure AR performance
- Reporting &
- Analysis:
Oversee the preparation of AR aging reports and other performance analytics, ensuring timely and accurate reporting to management.
- Team Leadership: Mentors AR specialists to improve productivity and reduce errors.
- Escalation Handling: Resolves complex AR issues and ensures timely communication.
- Audit &
- Compliance
: Ensures AR activities align with industry standards and regulations.
- Strategy &
- Forecasting
: Develops strategies to reduce AR days and improve cash flow.
- Collaboration: Works with billing, coding, and insurance teams to resolve AR issues.
- Process Improvement: Implements automation and technology to streamline AR workflows.
- Denial Management: Analyzes and addresses denial trends to minimize claim rejections.
- Data Analysis: Prepares and maintains reports and dashboards to track AR performance.
- Continuous Education: Keeps the team updated on process changes, updates and best practices.
- KPI Monitoring: Tracks team performance and holds members accountable for AR goals.
- Cross-Training: Ensures team flexibility by cross-training on all AR processes.
- Root Cause Analysis: Identifies and addresses the underlying causes of AR issues to improve efficiency.
- Client Reporting: Prepares clear, actionable reports for clients regarding AR status and improvements.
- Team Motivation: Drives team motivation and fosters a positive, high-performance work environment.
- Claim Follow-up: Oversees timely follow-up on unpaid claims to ensure faster reimbursement.
- Workload Distribution: Effectively manages and assigns AR tasks to ensure balanced workloads and timely completion.
- Trend Analysis: Identifies billing trends to proactively address issues before they escalate.
📌 Immediate Hiring!! Team Coordinator - RCM (Chennai)
🏢 Shai Health
📍 Chennai