SSMC Team Lead

Job description

Eviden is an Atos Group business with an annual revenue of circa € 5 billion and a global leader in data-driven, trusted and sustainable digital transformation. As a next generation digital business with worldwide leading positions in digital, cloud, data, advanced computing and security, it brings deep expertise for all industries in more than 47 countries. By uniting unique high-end technologies across the full digital continuum with 55,000 world-class talents, Eviden expands the possibilities of data and technology, now and for generations to come.

 

 

Shift Schedule: Nightshift

Work Setup: Onsite

 

Required Education:

·  Graduate of BS Nursing – RN or any Allied Medical courses
·  CPC/AHIMA certification is a plus
·  ICD-10 Proficiency certification

Required Skill Sets:

·  Supervise the day-to-day operations of the billing team, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
·  Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues.
·  Domain centric on US Healthcare System (Healthcare KPO experienced in Administration at Payer end and RCM for Providers environment) – ICD 10 + Medical Coding knowledge
·  Experience in Encoder Pro/3M or any Medical Coding tools
·  Ability to develop a strategy that will be utilized by the team to reach its goals
·  Ability to monitor the team member’s performance in terms of SLAs (Productivity, Quality, Attendance etc.)
·  Ability to provide effective coaching, mentoring and help develop Performance Improvement Plan
·  Ability to use independent judgment and to manage and impart confidential information
·  Ability to create reports to update the upper management of the team’s progress
·  Extensive knowledge in reviewing and assigning accurate medical codes for diagnosis, procedures performed in an outpatient setting ( E&M, Ophthalmology, ED Pain Management Ambulatory Internal Medicine Rheumatology Hematology Endocrinology Physical Medicine and Rehabilitation Oncology Pediatrics Palliative Care Family Medicine Orthopedics Ophthalmology Geriatrics Gastroenterology General Surgery Urology Otolaryngology/ENT Neurology Gynecology Psychiatry)
·  Trains, instructs, and/or provides technical support to the team members as appropriate regarding coding compliance documentation, regulatory provisions, and third-party payer requirements.
·  Reviews, develops, modifies, and/or adapts relevant client procedures, protocols, and data management systems
·  Proficiency across a wide range of services, including Trauma/ED, evaluation and management, surgery, radiology, pathology, medicine, Ambulatory, Hematology etc. (Trauma/ED exp is mandatory)
·  Presentation skills with editorial background using MS Word, PowerPoint and MS Excel (MS Visio a benefit)
·  Excellent Communication Skills in Spoken and Written English required to engage with US Clients in Healthcare Space

Required Experience:

·  Minimum of 5 years' experience in Revenue Cycle Management
·  US Healthcare KPO experience in Payer and Provider Space for minimum of 2-3 years on each vertical
·  Overall experience of around 1 years with exposure to Subject Matter Expert Roles.
·  Supervisory experience is a plus

 

 

 

Let’s grow together.