17 Sep
|
Gloplax Solutions
|
Hyderabad
17 Sep
Gloplax Solutions
Hyderabad
Job Description Job Description Years of Experience: 8–10 years Industry: RCM / US Healthcare Shift Timings: 6:30 PM to 3:30 AM IST Role Summary and purpose The Senior Employee Relations Specialist – Healthcare & RCM will be responsible for managing complex employee relations matters across Revenue Cycle Management operations. The role ensures fair, compliant, and consistent handling of workplace issues while balancing associate safety, regulatory requirements, and operational productivity. This position requires robust investigation skills, healthcare/RCM domain understanding, knowledge of labour laws, and the ability to partner with operations, compliance, and quality leaders. Key Responsibilities Employee Relations & Investigations Lead investigations related to: Workplace behavior, harassment, and discrimination Conduct issues HIPAA-related violations, confidentiality breaches Fraud, coding inaccuracies, and RCM-sensitive concerns Complaints involving behaviour Conduct meetings with employees, supervisors, and cross-functional stakeholders. Document findings, recommend actions,
and ensure closure with minimal business disruption. RCM-Specific Responsibilities Support ER issues within RCM teams: Billing Coding AR follow-up Patient access Registration & authorization Address performance issues tied to: Productivity metrics (DNFB, TAT, collections, coding accuracy) Quality scores and audit findings Compliance and payer-specific regulations Partner with Quality, Operations, and Compliance to ensure alignment with revenue cycle controls. Compliance & Policy Governances within RCM teams: Ensure adherence to: Healthcare regulations (HIPAA, privacy) Healthcare accreditation requirements (NABH/JCI) Labor laws and statutory requirements Assist in developing, updating, and socializing HR and ER policies relevant to healthcare and RCM environments. Guide leaders when applying disciplinary frameworks for sensitive issues. Performance & Conduct Management Advise managers in h
📌 Senior Consultant (Hyderabad)
🏢 Gloplax Solutions
📍 Hyderabad