Senior Medical Billing Operations Manager

5 days ago


Vizag, Andhra Pradesh, India beBeeQuality Full time ₹ 90,00,000 - ₹ 1,20,00,000

**Job Overview:**

We are seeking an experienced Quality Assurance Manager to lead quality assurance initiatives in medical billing operations.

The ideal candidate will ensure process excellence, compliance with payer regulations, and continuous improvement across Revenue Cycle Management functions.

**Key Responsibilities Include:

  • Establishing and monitoring quality standards across Medical Billing, AR follow-up, and denial management.
  • Conducting regular audits, reviews, and root cause analyses to identify gaps and implement corrective actions.
  • Collaborating with operations, training, and compliance teams to drive process improvements.
  • Developing and tracking quality metrics (accuracy, compliance scores, productivity impact, SLA adherence).
  • Providing feedback, coaching, and training to team members to enhance performance.
  • Ensuring adherence to HIPAA guidelines, payer policies, and regulatory requirements.
  • Partnering with clients and leadership to present quality performance reports and improvement plans.

**Requirements for Success:

  • 8-12 years of experience in RCM/medical billing quality function.
  • Strong understanding of quality frameworks, audit methodologies, and US healthcare regulations.
  • Proven track record in driving quality initiatives and achieving measurable improvements.
  • Excellent communication, analytical, and stakeholder management skills.
  • Experience in Six Sigma/Lean methodologies is a plus.
  • Experience in handling quality analyst team (Medical Billing).


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