Qutub S

About Qutub S

I’m an accomplished \"Associate Manager – RCM Operations\" with over 15+ years of…

Experience

1. Associate Operations Manager

   R1 RCM

   Sep 2024 — Present · Hyderabad, IN

   As an Associate Manager - RCM & AR Operations at R1 RCM, my job responsibilities includes (but are not limited to):• Leading and managing a team of 100+ AR specialists.• Setting clear performance expectations and providing regular feedback and coaching.• Fostering a positive and collaborative team environment. • Managing workload distribution and ensure equitable work allocation.• Overseeing the analysis and resolution of claim denials, including payer and provider-side discrepancies.• Developing and implementing strategies to reduce denial rates and increase reimbursement.• Monitoring and managing denial aging, ensuring timely resolution.• Implementing and maintaining quality control measures to reduce errors.• Providing process specific training and guidance to team members on a regular basis.Developing and tracking key performance indicators (KPIs) for the team.• Providing regular performance & process progress to the Internal Management.• Identifying opportunities for process improvement and workflow optimization.• Collaborating with cross-functional teams to implement process enhancements.• Staying up-to-date with industry trends and regulatory changes affecting RCM & AR.• Ensuring that AR practices adhere to all relevant healthcare regulations, including HIPAA.encourage good A/R follow up skills and work ethics.• Interacting with customers (internal/external) and keep stakeholders appraised of the process performance.• Creating status reports for customers (internal/external).• Interfacing with the management both in terms of cascading messages from senior management and putting into practice strategy or modifications required for the process based on decisions taken.• Anticipating issues and needs of the customer related to the project and address them proactively.• Tracking and maintaining metrics for a variety of data including productivity, shrinkage, attrition, inflow/outflow analysis, cashflow analysis etc.

Education

• Welingkar Institute of Management

  PGDM in Operations

  2018 — 2020