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Assistant Team Lead / Team Lead – VOB / Pre-Authorization

HealthRecon Connect 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 HealthRecon Connect, 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 for five consecutive years and was adjudged one of the 40 Best Workplaces in Sri Lanka in 2021. HealthRecon is also a participant of the United Nations Global Compact.

We are looking for Assistant Team Lead’s & Team Lead’s in VOB / Pre-Authorization 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 – VOB / Pre-Authorization

Work Week:
Monday to Friday

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

Location:
Sri Lanka

Other Features:
Full Time
US calendar applicable

Responsibilities:

  • Maintain master worksheet with patient demographic and verification details.
  • 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 VOB Analysis for the assigned client portfolio and present it to the leadership and counterparts from clients.
  • Monitor whether team verifying benefits with within the given time frame and provide necessary feedback to the team as appropriate.
  • Exercise Root Cause Analysis on overall VOB 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 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.
  • Daily and weekly assigned reports to be shared within the given timelines.

 

Qualifications & Experience

  • Bachelor’s degree in finance, Healthcare, Business, or related field.
  • At least 6 years RCM experience with at least 1 year in VOB / Pre-Authorization in Allergy specialty.
  • In-depth knowledge of IMS and AMD Systems.
  • Passion for solving problems.
  • Ability to work with MS Office package.
  • Good written and verbal communication skills.
  • Ability to work under pressure.
  • Tenacity.

 

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