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Position Title:
Operations Manager (Coding Denial Management)

Department:
Client

Reports to:
Client

Country/Business Unit:
Philippines

 

Responsibilities:

  • Review and monitor day-to-day denial management operations and Service Level Agreements.
  • Audit the work done by denial management executives and transactions audited by the QAs and provide feedback.
  • Attend weekly client calls and present current production and quality levels.
  • Be a subject matter expert to guide team for accurate coding.
  • Track and Maintain attendance of the entire operations tea
  • Understands the process vision & has the ability to translate the same to the team
  • Demonstrates an understanding of the impact of team’s performance on sub /process objectives
  • Reviews own actions against the process objectives
  • Identifies long term issues, problems or opportunities for the team
  • Appreciates the inter-dependencies between teams/functions
  • Understands impact of business metrics on profitability
  • Suggests solutions based on inferences from the data
  • Demonstrates expertise in functional knowledge
  • Demonstrates functional expertise to coach/mentor peers/team members
  • Cost optimization and maximum utilization of resources for productivity
  • Comes out with new ideas for process improvements to enhance customer service. Responsible for preparation of process budget and manpower.
  • Manages Average Handling Time (AHT) as per SLAs
  • Accountable for the production and quality targets of the Unit
  • Managing the profitability of the process
  • Coaches and mentors Associates & Team Leads
  • Optimum utilization of resource to meet productivity.
  • Interview candidates to ensure quality of Hire
  • Conducting performance appraisals
  • Identify key people and mentor leaders
  • Conduct team reviews
  • Submit progress reports of the team to the Program Lead

Minimum Qualifications:

Required Education:          

  • Coding certification from AAPC – CCS; CCS-P; CPC etc.

Required Experience:          

  • Minimum 4-6 years of medical coding and QA experience in professional coding and/or facility coding and Denial management.
  • Experience of working across multiple coding specialties, denial management and operations.
  • Should have handled a Team of 30+ coders/Denial Management executives.

Key Competencies:        

  • Strong knowledge of coding domains – E/M, ED, Radiology, Surgery, Pathology, IP DRG, HCC & Denial Management.
  • Strong knowledge of coding/Denial Management operations, People & Process management.
  • Excellent relationship building and mentoring skills.
  • Excellent communication and presentation skills across all levels.
  • HIPAA compliant and compliant with all Industry policies and procedures

Additional Details:

  • Location: Ortigas, Pasig
  • Shift: Night Shift (Weekends Off)
  • Salary: 65K to 90K monthly package (depending on the experience)

 

Please send your resume to phrecruitment@andersonbpoinc.com

Contact us: (02) 3491 – 7325

Or visit us in one of our Offices:

Ortigas Branch: 11/F Wynsum Corporate Plaza, #22 F. Ortigas Jr. Road Ortigas Center, Pasig City Philippines

Mandaluyong Branch: 20th Flr Robinsons Cybergate 3, Pioneer St., Mandaluyong

BGC Branch: Unit 1504 Ecotower Building, 32nd Street corner 9th Avenue Bonifacio Global City, Taguig City Philippines


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