QA/ Process Specialist - RCM

Description

JOB DETAILS:
• Experience in handling a team / group of 15 to 20 FTEs
• Thorough understanding of RCM processes like Billing, Cash Posting, Credit Balance, Accounts Receivables, Denial Management & Correspondence review
• Very good understanding of RCM metrics like Days in AR, Ageing above 90 days, Collections and bad debt
• Periodically review teams performance and recommend performance improvement plan wherever required
• Hands on in preparing daily, weekly & monthly operational metrics reports from the Practice Management/Billing System and workflow tool using MS-Excel
• Identify trends and patterns from the generated reports and initiate action plan to resolve the AR issues
• Responsible for work allocation / distribution to the team and monitor the team work
• Create and maintain daily operational scorecards to track and report KPI’s; assist in volume forecast and capacity planning as required
• Generate and d...