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Senior Revenue Cycle Manager

3 weeks ago


Nellore, Andhra Pradesh, India beBeeLeader Full time ₹ 12,00,000 - ₹ 15,00,000
Job Overview

We are seeking an experienced professional to lead the establishment and management of a new revenue cycle team in India. This role requires extensive knowledge of the US healthcare revenue cycle, including medical billing, coding, prior authorization, denial management, and insurance verification.

Key Responsibilities:
  • Team Setup & Leadership:
    • Recruit, train, and manage a team of 4+ experienced billers and coders.
    • Establish Standard Operating Procedures (SOPs), workflows, and performance metrics from the ground up.
  • Revenue Cycle 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): AR days, First Pass Resolution Rate, and Denial %.
    • Identify and resolve bottlenecks to improve revenue cycle efficiency.
  • Client & Stakeholder Communication:
    • Liaise directly with US 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 leadership role.
    • Strong expertise in medical billing, coding, prior authorization, denial management, and insurance verification.
    • Familiarity with ICD-10, CPT/HCPCS, and major Practice Management/Electronic Health Record (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.

About Our Organization

Our organization is a dynamic environment that values innovation and collaboration. We offer a unique work setting that fosters growth and development.