Job Description

EMPClaims was recently recognized as a Top 10 vendor for RCM Services in the US, and we take pride in the quality of our services. Our customers include large health systems and small medical practices.We offer you a competitive compensation package along with the opportunity to learn on the job, develop knowledge of the process, and grow your career. This is an on-site Team leader position for Billing/Posting (Day) & AR (Night Shift) Essential Functions : 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. Undertakes audit activities to confirm quality assurance from both - billing /Payment Posting/AR guidelines and performance, adherence to /Payment Posting/AR processes perspective. Excellent communication with other RCM cross departments to ensure no gaps are present in the end-to-end RCM processes. Leads in quality improvement projects and actions as appropriate, i.e., error analysis and feedback to team members. Provides weekly and monthly report covering agreed KPIs, service improvements and any potential/real issues/risks. 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 CSM/Managers/Cilents 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. Actively participates in management meetings as required. Q ualifications: Bachelor\'s degree in healthcare administration, business, or a related field (preferred). Previous experience in provider credentialing within a healthcare setting is highly desirable. Knowledge of healthcare regulations, payer enrollment requirements, and industry standards. Strong attention to detail and organizational skills. Excellent communication and interpersonal skills. Proficiency in using credentialing software and Microsoft Office applications. Ability to work independently and as part of a team. Problem-solving skills and the ability to handle confidential information with discretion. Company Benefits: Health Insurance for individual and family coverage free of cost by the company (no deduction from salary) 5 days working Attractive & realistic performance incentives Provident Fund/ESIC Extreme employee engagement Maternity/Paternity leaves 28 paid Leaves during the financial Year Employee specific career progression Plans ELT Training sessions Learning & Development (Technical, Soft skills, Communication, Leadership) Rewards and Recognition programs Safe Commute for female night shift employees Festival celebrations & annual events

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