Job Description

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 an Assistant Team Lead - Credentialing 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 - Credentialing

Work Week:

Monday to Friday

Shift Window:

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

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 a Credentialing Plan for the assigned client portfolio and present it to the leadership and counterparts from clients. Monitor whether team submit and/or follow up on credentialing applications before timely filing exceeded and provide necessary feedback to the team as appropriate. Exercise Root Cause Analysis on rejected credentialing applications 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 on In-Process credentialing applications 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 Credentialing application approval 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 time frames set 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.

Qualifications/Criteria:

Possess a bachelor's degree or equivalent qualifications. At least 4 years of experience in Credentialing. RCM Operations knowledge. Computer competence, including MS Office packages and database management. Ability to function well in a fast-paced pressurized work environment Strong verbal and written communication skills in English * Attention to details