Senior Revenue Cycle Manager

6 days ago

Tiruchi, Tamil Nadu, India beBeeLeadership Full time ₹ 9,00,000 - ₹ 12,00,000
Billing Team Lead Position

Our organization is seeking a highly experienced professional to establish, manage, and optimize our Revenue Cycle Management (RCM) operations in India. This role demands extensive knowledge of the US healthcare revenue cycle, encompassing Medical Billing, Medical Coding, Prior Authorization, Denial Management, and US Healthcare Insurance Verification.

Primary Responsibilities
  • Lead and develop a team of 4+ skilled billers and coders, fostering their growth and productivity.
  • Establish Standard Operating Procedures (SOPs), workflows, and performance metrics from the ground up, ensuring seamless RCM operations.
RCM Operations Optimization
  • Medical Billing & Coding
  • Prior Authorizations
  • Payer Credentialing
  • US Healthcare Insurance Verification
  • Charge Entry & Payment Posting
  • Denials Management
  • Accounts Receivable (AR) Follow-ups
  • Maintain HIPAA compliance and process efficiency.
Performance Monitoring & Quality Control
  • Monitor Key Performance Indicators (KPIs): AR days, First Pass Resolution Rate, and Denial %.
  • Identify and resolve bottlenecks to enhance revenue cycle efficiency.
Client & Stakeholder Liaison
  • Direct communication with US stakeholders for process updates and escalations.
  • Regular reports and actionable management insights will be provided.
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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