Assistant Team Lead / Team Lead – Collections

Confidencial (Apenas para Cadastrados) provides technology-enabled Revenue Cycle Management solutions to US healthcare providers. The company leverages over 30 years of deep domain expertise, machine learning, AI, cutting-edge analytics, and automated workflows that help improve cash flow, patient outcomes and enable peace of mind for their clients. At Confidencial (Apenas para Cadastrados), day after day, we not only hold ourselves accountable for setting and maintaining high standards, but we also passionately strive for the highest achievement, customer delight and thrive on the challenge of high expectations and commitment to excel.

HealthRecon was certified a Great Workplace by Great Place to Work® Sri Lanka since 2018 and was adjudged one of the 40 Best Workplaces in Sri Lanka by Great Place to Work® Sri Lanka in 2021. We are also a participant of the United Nations Global Compact.

We are looking for Assistant Team Lead’s & Team Lead’s in Collections to join our team. Please review the criteria and other information listed below thoroughly prior to applying and pay specific attention to the work week, shift details and other features of the job.

Due to the large volume of applications we receive, all applications will be reviewed in the order in which they were received and only the candidates short-listed for the first round of interviews will be contacted. Thank you for your understanding.

Job Vacancy:
Assistant Team Lead / Team Lead – Collections

Work Week:
Monday to Friday

Shift Window:
7:30 PM – 4:00 AM SLST (Night Shift)

Important: Confidencial (Apenas para Cadastrados) currently operates under a hybrid work arrangement, with the number of remote workdays varying by team. However, depending on client deliverables and business needs, employees may be required to work on-site for all five weekdays.

By applying, you acknowledge and agree to be available for in-person work five days a week if required.

Other Features:
Full-time
US calendar applicable

Responsibilities:

• Ensure and plan effective ways of managing the volume, accordingly in terms of the availability of volume and any additional agents are benched or moved to QA function etc.
• Develop AR Analysis for the assigned client portfolio and present it to the leadership and counterparts from clients.
• Monitor whether team follow up with assigned AR proportion before timely filing limits exceeded and provide necessary feedback to the team as appropriate.
• Exercise Root Cause Analysis on overall AR follow ups of assigned clients and provide feedback to the leadership and clients.
• Maintain expected turnaround time of respective clients.
• Discuss with the reporting manager on effective FTE planning, Allocation, Utilization and measure quality and quantity of the assigned work.
• Ensure team follow up remaining AR (Insurance and patients) in a timely manner.
• Ensure to respond back to internal e-mails within the shift time, and for External e-mails to be responded within the client TAT.
• Enforce company regulatory standards to ensure the area of responsibility is in compliance with HIPPA and ISO standards.
• Ensure all client related queries are resolved within the given TAT and be overall accountable for the assigned account.
• Ensure the team achieve 30 + paid rate as expected.
• Daily and weekly assigned reports to be shared within the given timelines.
• Ensure SOPs (Standard operational procedures) are developed according to the required standard and requirement and monitor consistency and timely updates and share with MO for final approval.
• Conduct random QA on a percentage decided by the management.
• Support the Manager in conducting employee evaluations according to the set time frames and in an objective manner.
• Conduct On the Job Training (OJT) to team members when necessary.
• Conduct or allocate personnel to train newcomers on the job specific functions.
• Ensure that team members adhere to the company values.
• Ensure the CDM tool is being used optimally, check on the system (CDM) and work on the system and working on allocated/assigned claim denials, particularly those above 60+ bucket and other applicable categories.
• Identify system inefficiencies and escalate issues as needed to ensure proper tool functionality.
• Continuously evaluate the effectiveness of current AR inventory workflows in CDM and implement process improvements to enhance efficiency and maximize revenue inflow.

Qualifications/Criteria:

• Bachelor’s degree in finance, Healthcare, Business, or related field.
• At least 5 to 6 years RCM experience with 1 year in Collections in Hospital AR / Collections.
• In-depth knowledge of EPIC Software.
• Passion for solving problems.
• Ability to work with MS Office package.
• Good written and verbal communication skills.
• Ability to work under pressure.
• Tenacity.