
Revenue Cycle Management Specialist
2 days ago
We seek an experienced Medical Billing professional to lead our Revenue Cycle Management (RCM) team in India.
About the RoleThis is a senior-level position that requires expertise in medical billing, coding, and leadership. As a key member of our team, you will be responsible for setting up, leading, and managing a team of experienced billers and coders. You will establish Standard Operating Procedures (SOPs), workflows, and performance metrics from the ground up.
Key Responsibilities- Team Setup & Leadership:
- Recruit, train, and manage a team of 4+ experienced billers and coders.
- Establish SOPs, workflows, and performance metrics from the ground up.
- RCM Operations Management:
- Manage Medical Billing & Coding processes.
- Coordinate Prior Authorizations.
- Ensure Payer Credentialing compliance.
- Verify US Healthcare Insurance coverage.
- Process Charge Entry & Payment Posting efficiently.
- Resolve Denials proactively.
- Monitor Accounts Receivable (AR) Follow-ups.
- Guarantee HIPAA compliance and process efficiency.
- Performance & Quality Control:
- Track Key Performance Indicators (KPIs) such as AR days, First Pass Resolution Rate, and Denial %.
- Analyze data to identify bottlenecks and improve revenue cycle efficiency.
- Client & Stakeholder Communication:
- Liaise directly with US stakeholders for process updates and escalations.
- Provide regular reports and actionable management insights.
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