Revenue Cycle Consultant

3 days ago

Kochi, India Tru Performance Inc Full time

(Immediate Joiner Only)


Job Title:

Team Leader/Assistant Manager/Manager - RCM (US Hospital Billing)

Location:

Kharadi Pune

Experience Required:

5–8 years in RCM (US healthcare), with at least 2 years in a leadership role managing teams for hospital billing.


Roles and Responsibilities:

Operational Management:

  1. Lead and manage a team of executives handling end-to-end hospital billing processes, including charge entry, payment posting, AR follow-up, and denials management.
  2. Ensure timely and accurate claims submission and effective resolution of denials to maximize revenue recovery.
  3. Monitor team performance against key metrics such as productivity, quality, and turnaround time (TAT).

Team Leadership:

  1. Conduct regular performance reviews and provide coaching and training to improve team skills.
  2. Act as a mentor to team members, fostering a collaborative and results-driven environment.
  3. Manage staffing, scheduling, and workload allocation to ensure business continuity.
  4. Manage a team of 50-60 employees

Client Management:

  1. Serve as a primary point of contact for clients, addressing escalations and ensuring satisfaction with service delivery.
  2. Prepare and present weekly/monthly performance reports to stakeholders and clients.

Compliance and Quality:

  1. Ensure adherence to HIPAA guidelines and other regulatory requirements.
  2. Implement quality control measures to maintain high levels of accuracy in billing and claims processes.

Process Improvement:

  1. Identify areas for process optimization and automation to enhance operational efficiency.
  2. Collaborate with senior management team to implement new policies and workflows.
  3. Collaborate with client for process & performance improvement of team.


Required Skills:

  • In-depth knowledge of RCM processes (2+ yrs hospital billing exp is mandatory), payer guidelines, and EOB interpretation.
  • Strong leadership and people management skills.
  • Proficiency in using billing software (e.g., Epic, Cerner, eClinicalWorks, MediTech etc.)
  • Expert in MS Office (Excel, PowerPoint).
  • Expert in Analysing inventory management.
  • Excellent communication and interpersonal skills to manage teams and interact with clients effectively.
  • Analytical mindset to identify trends and implement corrective measures.
  • Manage team of 50-60 members


Qualifications:

  • Bachelor’s degree in Healthcare Administration, Business, or related field (preferred).
  • Certification in Medical Billing/Coding or RCM processes (e.g., AAPC, HFMA) is a plus.


Additional Benefits:

  • Performance-based incentives.
  • Professional development opportunities.

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