Complex Issue Resolution Specialist

5 days ago


Pasig, National Capital Region, Philippines Indicle Full time
Job Overview
We are seeking a highly skilled and analytical professional to lead a specialized team dedicated to addressing escalated revenue cycle management (RCM) challenges. As a key member of our revenue operations team, you will be responsible for ensuring the seamless operation of our revenue cycle by effectively managing complex client issues.

Key Responsibilities:
  1. Team Leadership & Management:
    • Lead and mentor a team of specialists focused on resolving complex RCM issues.
    • Allocate resources efficiently to ensure timely and effective resolution of escalated cases.
    • Conduct regular performance evaluations and provide ongoing training to enhance team capabilities.
  2. Complex Issue Resolution:
    • Oversee the investigation and resolution of complex billing, coding, and reimbursement issues.
    • Collaborate with cross-functional teams to identify root causes and implement corrective actions.
    • Serve as the primary point of contact for clients regarding escalated RCM concerns.
  3. Process Improvement & Compliance:
    • Analyze patterns in escalated issues to identify systemic problems and areas for process enhancement.
    • Develop and update standard operating procedures to prevent recurrence of complex issues.
    • Ensure all resolutions comply with industry regulations and organizational policies.
  4. Stakeholder Collaboration:
    • Work closely with standard RCM teams to provide guidance on complex cases.
    • Communicate effectively with clients to manage expectations and provide status updates on issue resolution.


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