Billing Manager
3 weeks ago
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 ResponsibilitiesTeam 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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