19 Sep
|
Wonder Worth Solutions
|
Vellore
19 Sep
Wonder Worth Solutions
Vellore
The Role :
Three functions. One revenue outcome.
Lead Charges, Payments, and ARM operations to ensure claims move accurately, payments are reconciled, denials are resolved, and aging is controlled.
Your role is not simply to monitor teams. You are responsible for people, productivity, quality, SLA, workflow, escalations, and continuous improvement across the unit.
What You Will Own - Your Responsibilities :
Operations: Drive productivity, quality, SLA, and daily performance across Charges, Payments, and ARM.
People: Manage workforce allocation, attendance, coaching, and team development.
Quality & Compliance: Ensure accuracy, compliance, and adherence to process standards.
Revenue Control: Monitor claims, rejections, payments, denials, reconciliation, and aging.
Escalations: Resolve critical issues and coordinate cross-functional actions.
Reporting: Track dashboards, identify gaps, and drive corrective actions.
Improvement: Identify recurring issues and implement sustainable process improvements.
Core Metric:
C3 Operational Performance Target: 95% SLA & Quality Compliance
Maintain 95% or higher achievement across defined productivity, quality, SLA, and compliance standards for the C3 unit, measured monthly.
The Fight: What You will Fight:
The operational breakdown.
A missed charge becomes a rejected claim.
A payment discrepancy becomes inaccurate financial data.
An unresolved denial becomes aged A/R.
A staffing gap becomes an SLA failure.
You identify problems before they travel downstream, remove operational bottlenecks, hold teams accountable to standards, and make sure no issue survives simply because it belongs to another team.
Your job is to keep the entire C3 operation moving accurately, consistently, and without avoidable delays.
WHO THRIVES HERE : Three Traits We Cannot Teach:
You see the whole system connect every process to the final outcome.
You act before problems escalate identify risks and take ownership early.
You build people create accountable, capable, independent teams.
THE WWS PERKS :
Leadership with measurable impact
Cross-functional exposure across the Revenue Cycle
Structured leadership and team development
Ownership of process improvement initiatives
Qualifications:
Education: Bachelors degree in any discipline
6+ years of experience in Healthcare RCM with team leadership experience.
Robust knowledge of Claims, Payments, Denials, A/R, and Reconciliation.
Strong leadership skills in people management, performance, escalation handling, and process improvement.
Strong communication, stakeholder-management, escalation-handling, workforce-planning, and decision-making skills.
Ability to manage multiple workflows simultaneously while maintaining quality, compliance, productivity, and service-level standards.
Contact us on / (phone hidden)
📌 Supervisor - Claim Assembly, Denials & Reconciliation Unit (Vellore)
🏢 Wonder Worth Solutions
📍 Vellore