Billing Manager

2 weeks ago


India Citadel Coworkers Full time
Role Overview

We are seeking a highly experienced US Medical Billing professional to set up, lead, and manage a new RCM team in India. This role requires end-to-end knowledge of the US healthcare revenue cycle, including Medical Billing, Medical Coding, Prior Authorization, Denial Management, and US Healthcare Insurance Verification . The right candidate will be confident in establishing processes, training staff, and ensuring compliant and high-quality delivery for US clients.

Key Responsibilities Team Setup & Leadership
  • Recruit, train, and manage a team of 4+ experienced billers and coders.
  • Establish SOPs, workflows, and performance metrics from the ground up.
RCM Operations Management
  • Medical Billing & Coding
  • Prior Authorizations
  • Payer Credentialing
  • US Healthcare Insurance Verification
  • Charge Entry & Payment Posting
  • Denials Management
  • Accounts Receivable (AR) Follow-ups
  • Ensure HIPAA compliance and process efficiency.
Performance & Quality Control
  • Monitor KPIs (AR days, First Pass Resolution Rate, and Denial %).
  • Identify and resolve bottlenecks to improve revenue cycle efficiency.
Client & Stakeholder Communication
  • Liaise directly with US stakeholders for process updates and escalations.
  • Provide regular reports and actionable management insights.
Requirements
  • 10+ years of proven experience in US RCM , with 3+ years in a billing manager/supervisor role.
  • Strong expertise in medical billing, medical coding, prior authorization, denial management, and insurance verification.
  • Familiarity with ICD-10, CPT/HCPCS, and major PM/EHR systems (Athena, eCW, AdvancedMD, Kareo, Practice Fusion and NextGen).
  • Proven ability to build and lead high-performing teams .
  • Excellent written and verbal communication skills.
  • Strong leadership presence and decision-making skills.

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