
Senior Medical Revenue Cycle Director
1 day ago
We are seeking a seasoned US Medical Billing expert to establish, lead and manage an RCM team in India.
Role Overview:- Team Setup & Leadership:
- Recruit, train and supervise a team of experienced billers and coders.
- Develop SOPs, workflows and performance metrics from scratch.
- RCM Operations Management:
- 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 & Quality Control:
- Monitor KPIs (AR days, First Pass Resolution Rate and Denial %).
- Identify and resolve bottlenecks to enhance revenue cycle efficiency.
- Client & Stakeholder Communication:
- Negotiate directly with US stakeholders for process updates and escalations.
- Provide regular reports and actionable management insights.
- 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).
- Able to build and lead high-performing teams.
- Excellent written and verbal communication skills.
- Strong leadership presence and decision-making skills.
The ideal candidate will possess excellent leadership and communication skills with a strong background in US RCM and experience managing high-performing teams.
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