RCM Project Manager/ Operations Manager

Company Description

EMPClaims is a leading Revenue Cycle Management company with over a decade of expertise in medical billing, coding, telemedicine, workers compensation, and patient intake solutions. The company specializes in niche billing areas, including cardiology, neurology, radiology, and more. EMPClaims is committed to enhancing outpatient practices and facilities by streamlining compliance, documentation, and operational workflows for optimal reimbursements and improved patient care. Their process automation and highly-skilled professionals ensure clients can focus on delivering quality healthcare while maximizing revenue.

Role Description

This is a full-time, on-site role for a Project Manager/Operations Manager based in Ahmedabad. The role involves overseeing project delivery, ensuring efficient operations and compliance, coordinating logistics, managing inspections, and driving overall project strategy. The manager will also ensure timely execution of processes while collaborating with internal teams and external stakeholders to achieve organizational goals.

Deliverables

·      Monitors daily operations including work allocation, FTE utilization, meetings, updates, downtime management etc.

·      Ensures an accurate, efficient, effective, and timely team approach to daily operations of the Medical Billing services so that billing will be of high quality.

·      Proactively manages all queries in relation to billing/Payment Posting/AR and follow up with the providers wherever required.

·      Monitors teams’ tasks to confirm quality assurance from both - billing /Payment Posting/AR guidelines and performance.

·      Excellent communication with other RCM cross departments to ensure no gaps are present in the end-to-end delivery.

·      Provides weekly and monthly report and analysis covering agreed account KPIs, service improvements and any potential/real issues/risks. Responsible for identifying Business level issues proactively.

·      Evaluates individual performance, through goal setting and performance scorecards (1 on 1 meetings)

·      Being a focal point for the team for communication and issue identification, resolution, and escalation, accordingly.

·      Encourages and shares knowledge and skills with concerned departments, including the provision of technical mentoring and coaching of team members where appropriate.

·      Responds to issues, queries and concerns of Client Managers as needed and in a timely manner. Confidentiality is maintained and privacy respected.

·      Leads and promotes a team environment that enhances partnership and cooperation through effective liaison, communication, and an inclusive approach.

Qualifications:

• Min 2 Years Experience (on papers) working as Operations Manager/ Asst Manager within Revenue Cycle Management (US Healthcare) domain required.

• Expert in any one function (AR/ Billing/ Posting) and decent knowledge of the other 2 functions of RCM.

• Experience with patient billing issues.

• Experience with eClinicalWorks, AdvancedMD, Kareo, AthenaHealth, Experity preferred but not mandatory.

• Excellent oral and written communication skills-Excellent Interpersonal skills

• Ability to bond well across different departments.-Excellent data analysis, advanced Excel skills.

CANDIDATES NOT FROM REVENUE CYCLE MANAGEMENT (RCM- US HEALTHCARE) INDUSTRY PLEASE DO NOT APPLY