Revenue Cycle Management Professional

2 days ago


Ajmer, Rajasthan, India beBeeBilling Full time ₹ 1,50,00,000 - ₹ 2,00,00,000
Medical Billing Manager Role

We are seeking an experienced medical billing professional to lead our revenue cycle management team. This role requires end-to-end knowledge of the US healthcare revenue cycle, including Medical Billing, Medical Coding, Prior Authorization, Denial Management, and US Healthcare Insurance Verification.

Key Responsibilities:
  • Team Setup & Leadership
    • Recruit, train, and manage a team of experienced billers and coders.
    • Establish Standard Operating Procedures (SOPs), workflows, and performance metrics.
  • 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
    • Ensure HIPAA compliance and process efficiency.
  • Performance & Quality Control
    • Monitor Key Performance Indicators (KPIs) such as AR days, First Pass Resolution Rate, and Denial %.
    • Identify and resolve bottlenecks to improve revenue cycle efficiency.
  • Client & Stakeholder Communication
    • Liaise directly with stakeholders for process updates and escalations.
    • Provide regular reports and actionable management insights.
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.
  • 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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