
Senior Medical Revenue Cycle Manager
2 days ago
We seek an experienced professional to lead and manage our revenue cycle management team.
- Leadership:
- Recruit, train, and manage a team of billers and coders.
- Establish standard operating procedures, workflows, and performance metrics.
Revenue Cycle Operations:
- Medical billing and coding.
- Prior authorizations.
- Payer credentialing.
- US healthcare insurance verification.
- Charge entry and payment posting.
- Denials management.
- Accounts receivable follow-ups.
- Ensure HIPAA compliance and process efficiency.
Performance Monitoring and Quality Control:
- Monitor KPIs (AR days, First Pass Resolution Rate, and Denial %).
- Identify and resolve bottlenecks to improve revenue cycle efficiency.
Client Communication:
- Liaise directly with stakeholders for process updates and escalations.
- Provide regular reports and actionable insights.
Requirements:
- 10+ years of proven experience in US RCM, with 3+ years in a leadership 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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