Expert RCM Leader

2 days ago

Amrāvati, Maharashtra, India beBeeLeadership Full time ₹ 9,00,000 - ₹ 12,00,000
Billing Manager

We are seeking an experienced professional to oversee the establishment of a new Revenue Cycle Management (RCM) team in India. The ideal candidate will have extensive knowledge of the US healthcare revenue cycle, encompassing Medical Billing, Medical Coding, Prior Authorization, Denial Management and US Healthcare Insurance Verification.

Key Responsibilities
  • Lead the recruitment, training and management of a team of seasoned billers and coders.
  • Develop and implement SOPs, workflows and performance metrics from the ground up.
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
  • Engage 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 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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