Healthcare Revenue Cycle Manager

1 day ago

Coimbatore, Tamil Nadu, India beBeeRevenue Full time ₹ 8,00,000 - ₹ 15,00,000
Healthcare Revenue Cycle Management Careers

We are seeking skilled professionals to join our team and contribute to the growth of our Healthcare Revenue Cycle Management (RCM) department.

Key Responsibilities
  • Medical Coder: Review clinical documentation, assign ICD-10, CPT, and HCPCS codes, ensure coding accuracy per CMS and payer guidelines, collaborate with providers for documentation clarification, and utilize EHRs like eClinicalWorks, Epic, Cerner, Athena.
  • Medical Biller: Submit insurance claims, follow up on rejections, post payments and reconcile accounts, verify patient insurance coverage and benefits, handle Medicare, Medicaid, and commercial insurances.
  • Denial Management Specialist: Analyze EOBs, identify root causes of denials, draft and submit appeals with supporting documentation, maintain denial logs and collaborate with coding and billing teams.
  • Prior Authorization Specialist: Submit prior auth requests to insurance companies, track approvals and communicate statuses to providers/patients, ensure compliance with payer turnaround timelines.
  • Credentialing Specialist: Submit and track credentialing applications with payers, maintain provider profiles (CAQH, PECOS), coordinate with providers for documentation and compliance.
  • Front Office Healthcare Coordinator: Answer inbound calls from patients and insurance reps, handle billing queries, coverage explanations, denial statuses, and prior auth info, document interactions in EMR/CRM systems, ensure HIPAA compliance and quality service.
  • RCM Team Lead: Lead a team across medical coding, billing, denial management, and credentialing, ensure SLA/KPI adherence, client communication, and team development, monitor quality, manage escalations, and enforce compliance protocols.

Required Skills Across Roles: Strong understanding of US healthcare RCM processes, knowledge of ICD-10, CPT, HCPCS, EOBs, CARC/RARC, NPI/PECOS, familiarity with tools like eClinicalWorks, Kareo, Availity, CAQH, AthenaHealth, excellent communication, attention to detail, and time management, EMR/EHR and payer portal proficiency.

Why Join Our Team?

You will be part of a dynamic team that is dedicated to delivering high-quality services to our clients. We offer a competitive compensation package, opportunities for professional growth and development, and a collaborative work environment.

What We Offer

We provide comprehensive training and support to ensure your success in your role. You will have access to cutting-edge technology and tools, and you will be encouraged to contribute to process improvements and innovation.

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