
Business Revenue Cycle Director
3 days ago
Establish a new revenue cycle management team in India, overseeing medical billing and coding, prior authorizations, denial management, and US healthcare insurance verification. The ideal candidate will have 10+ years of experience in US RCM, with 3+ years in a supervisory role, strong expertise in medical billing, coding, prior authorization, denial management, and insurance verification, familiarity with ICD-10, CPT/HCPCS, and major PM/EHR systems.
Key Responsibilities- Lead and manage a team of experienced billers and coders.
- Develop Standard Operating Procedures (SOPs) and workflows from the ground up.
- 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.
- Track Key Performance Indicators (KPIs): Accounts Receivable days, First Pass Resolution Rate, Denial percentage.
- Identify and resolve bottlenecks to improve revenue cycle efficiency.
- Liaise directly with US stakeholders for process updates and escalations.
- Provide regular reports and actionable insights.
The successful candidate will possess:
- A track record of leading high-performing teams.
- Strong written and verbal communication skills.
- Excellent leadership presence and decision-making abilities.
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