
Revenue Cycle Manager – Medical Billing/RCM Professional
5 days ago
Revenue Cycle Excellence Specialist
Job SummaryOur organization seeks a skilled Revenue Cycle Excellence Specialist to ensure the highest standards of quality, efficiency, and accuracy in revenue cycle management.
This critical role involves reviewing claims, payments, denials, and related workflows to maintain high-quality standards for healthcare clients. The successful candidate will be responsible for:
- Quality Assurance & Audit: Conduct thorough audits of medical billing claims, payment posting, denials management, AR follow-ups, and credentialing tasks against established guidelines.
- Error Identification & Corrective Action: Identify trends in errors (e.g., data entry mistakes, coding mismatches, underpayments) and provide detailed reports for corrective action.
- Performance Monitoring: Track key performance indicators (KPIs) such as First Pass Resolution Rate (FPRR), Clean Claim Rate, Denial Rate, and AR Days.
- Bachelor's degree in a relevant field (healthcare, life sciences, or commerce).
- 3–5 years' experience in medical billing, coding, running reports, or AR calling; minimum of 1–2 years in quality audit.
- Familiarity with CPT, ICD-10, HCPCS codes, and payer-specific guidelines.
- Excellent attention to detail, analytical ability, strong written and verbal communication, and problem-solving skills.
Able to work effectively in a fast-paced environment, prioritize tasks, and meet deadlines. Strong understanding of HIPAA regulations and compliance requirements essential.
What We OfferCompetitive compensation package, opportunities for growth and professional development, and a dynamic work environment that values innovation and excellence.
This is an exciting opportunity for a motivated individual to join our team and contribute to delivering exceptional results in revenue cycle management.
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