Senior Medical Billing RCM Expert

1 day ago

Nagpur, Maharashtra, India beBeeRevenue Full time ₹ 45,00,000 - ₹ 55,00,000
Experienced Billing RCM Specialist

The role of a Medical Billing RCM at involves managing the billing processes to ensure timely and accurate submission of claims, efficient processing of payments, and adherence to industry regulations.

This position is crucial in ensuring the revenue cycle management process runs smoothly. As a lead, you will supervise a team of billing specialists, coordinate with various departments, and optimize billing procedures to enhance overall revenue cycle efficiency.

  • Main Responsibilities:
  • Oversee the accurate and timely processing of claims, ensuring compliance with payer guidelines and regulations.
  • Review and address billing discrepancies, rejections, and denials, implementing corrective actions as needed.
  • Develop and implement billing policies and procedures to improve accuracy and efficiency.
  • Collaborate with coding, compliance, and other departments to ensure accurate coding and documentation.
  • Analyse billing data and metrics to identify trends, issues, and opportunities for process improvements.
  • Ensure proper follow-up on unpaid or denied claims and manage the appeals process.
  • Stay informed about changes in U.S. revenue cycle management practices and federal regulations to ensure billing processes remain compliant and optimized.
  • Provide guidance and training to the billing team on evolving industry standards and policy updates.

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