Inventurus Knowledge Solutions - AVP - Functional Implementation

Note: Candidate should be from US healthcare and with RCM background.

Profile Description:

This role would be responsible for handling all the client interactions and the technology tools available with IKS Revenue Optimization Services team for all the 3 streams (New client onboarding, Steady State team,new tech implementation team). Work closely with the transitions team, BI team, IS team, Client Services team and the Client team to ensure a seamless implementation of Optimix (and all related upgraded tools) and Dashboard for all new clients.

Key Responsibilities:

Process:

- Work closely with the transitions team, BI team, IS team, Client Services team and the Client team to ensure a seamless implementation of Optimix (and all related upgraded tools) and Dashboard for all new clients

- Act as a liaison between the IS team and the Operations team to channelize continuous communication between the two functions to help upgradation of current tools

- Responsible for ensuring technology adoption by all levels from operations

- Set up a governance mechanism to ensure clean adoption of tools and platforms, report out non-adherence and anomalies or gaps

People:

- Lead by example & develop a congenial, productive work environment & high employee satisfaction for the Org, to be the employer of choice.

- Be able to lead your own teams / people effectively & persuade them to strive for & achieve ongoing excellence & improvement across roles.

- Identify, Coach & Build succession plans for individuals basis their strengths & interests.

- Help prepare a roadmap and external interventions (training) required for them. Need to achieve this within the framework of the Company policy.

- Maintain High levels of employee Retention & Satisfaction for the aligned process

- Live and promote the values of IKS

- Help manage high level of team performance through a culture of continual feedback, coaching and learning

Qualifications:

- Graduate from any discipline is a must

- MBA OR any post graduate degree/diploma is preferred

Role Prerequisites:

- A minimum of 13-15 years and above experience in a corporate

- A minimum of 8 years of experience of leading teams is a must.

- Experience in customer relationship management is a must.

- Experience in Functional Product Implementation with a mid- large size portfolio.

- Change management, problem solving and project management skills

Functional Competencies:

- AR: Knowledge on AR strategies, Payer guidelines, AR platforms, global issues, exposure to & understanding of AR complexities, denials & revenue stream, front end working environment would be preferred

- Billing: Knowledge on billing nuances, payer rules & guidelines, edits & rejections, billing platforms, exposure to & understanding of Coding would be preferred

- Payment Posting: Knowledge on payment / posting nuances, pay sources, enrollments, know-how of payer contractual, refunds & credits would be preferred

- Knowledge of either AR, PP, Billing, EV/BV would be preferred (Mandate for Internal Growth)

- Knowledge of federal and the top 5 commercial payers

- Basic Knowledge of Medical Codes would be preferred

- Good Feedback and Coaching Skills

- Good Interpersonal Skills

- Good Communication Skills

- Basic Knowledge of Microsoft Tools would be preferred

- Presentation Skills

- P&L Management

- Delegation

- Dealing with Ambiguity