Director Pre Billing

3 weeks ago

Chesterfield, United States Avontix Full time
Job DescriptionJob DescriptionDescription:

Roles and Responsibilities

· Interacting with the clients / US Team on a daily basis regarding the work flow/trends/findings etc.

· Creating agendas for the client calls on a daily/weekly basis.

· Overseeing the operations of the billing department, charge entry, claims submissions, payment posting.

· Analyzing billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues.

· Ensuring that the overall responsibilities of the team leaders DM / AM to assign, review and analyze work completed within TAT.

· Auditing current procedures to monitor and improve efficiency of billing operations.

· Providing, overseeing, and/or coordinating the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques.

· Publishing /Analyzing Inventory: Productivity, Quality, Resources, process changes/updates, cash opportunities, issues.

· Managing the flow of day-to-day operations and analyze the issues and solve the problems.

· Ensuring timely delivery of Reports like Daily, Weekly & Monthly for Internal/Management and Client review.

· Providing project progress status report on a daily / weekly basis to the Sr. VP - RCM

· Preparing employees daily performance report to monitor team trending on set target to meet client SLAs.

· Preparing process flow and SOPs in conjunction with client.

· Daily / weekly / monthly interaction with the onshore staff to communicate compliance requirements and to monitor daily productivity.

· Daily revenue analysis against the budget allocated for each client, and be responsible for achieving the financial goals for the process.

· Monitoring the issue logs raised by the client partners and review each issue log prior to being escalated to the customer.

· Focusing on clearing house rejections giving instructions to respective team to fix them and resubmit the claim on timely manner to avoid untimely filling denials.

· Counselling on a regular basis to minimize Absenteeism and Attrition.

Requirements:
  • Any Graduation with a high level of knowledge and relevant work experience.
  • 15+ Years of total work experience in Revenue Cycle Management (RCM) process, with team management experience.
  • Experience in Charge entry and claims processing is mandatory. Payment posting and Credit balance experience is an added advantage.
  • Currently designated as Sr. Manager / Associate Director in RCM
  • Shift: 1pm to 10pm
  • Ability to effectively prioritize individual and team responsibilities.
  • Good verbal and written communication skills, strong analytical, organizational, and professional skills.

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