Company Profile:

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients’ experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare work better for all’ by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.

Job description:

Designation: Associate Operations Manager

Reports to (level of category): Manager - Operations

Role Objective

AR is the most essential part in the RCM cycle. It is usually the last step. After Denial management (AR), again the cycle starts till the payment is made by the insurance company.

Essential Duties and Responsibilities

Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. 

Should be able to manage a team of 25-30 FTEs

FTEs will be directly reporting to AM

Will be responsible to resolve queries, account reviews and provide training in case required

Drive production and quality to the expected level

Responsible to identify production and quality issues and to put plans in place for improvement

Analyze data to identify payer issues & challenges and fixes

Should work towards team engagement and retention/absenteeism

Will be responsible to lead internal and external calls.

Performance management.

First level of escalation.

Work in all shifts on a rotational basis.

Need to be cost efficient with regards to processes, resource utilization and overall constant cost management.

Must operate utilizing aggressive operating metrics.

Qualifications

Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular  MCA, B.Tech & Freshers')

Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM)

Good communication Skills (both written & verbal)

Skill Set

Candidate should be good in Denial Management

Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials

Good domain knowledge

Ability to interact positively with team members, peer group and seniors.

Demonstrated ability to exceed performance targets

Ability to effectively prioritize individual and team responsibilities

Communicates well in front of groups, both large and small.