
Senior RCM Operations Manager
2 days ago
We are seeking a highly experienced professional to lead and manage a new Revenue Cycle Management team in the US. This role requires end-to-end knowledge of the revenue cycle, including Medical Billing, Medical Coding, Prior Authorization, Denial Management, and Insurance Verification.
Key Responsibilities:- Recruit, train, and manage a team of 4+ experienced billers and coders.
- Establish SOPs, workflows, and performance metrics from the ground up.
- Medical Billing & Coding
- Prior Authorizations
- Payer Credentialing
- Insurance Verification
- Charge Entry & Payment Posting
- Denials Management
- Accounts Receivable Follow-ups
- Ensure HIPAA compliance and process efficiency.
- Monitor KPIs (Days in Accounts Receivable, First Pass Resolution Rate, and Denial Percentage).
- Identify and resolve bottlenecks to improve revenue cycle efficiency.
- Liaise directly with stakeholders for process updates and escalations.
- Provide regular reports and actionable management insights.
- 10+ years of proven experience in Revenue Cycle Management, 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.
- 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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Senior Medical Billing Manager
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Clinical Admin Associate
1 day ago
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