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Professional Billing Operations Manager Wanted
3 weeks ago
We are seeking an experienced professional to lead our Revenue Cycle Management (RCM) team in India.
Key Responsibilities:- Team Setup & Leadership
- Recruit, train and manage a team of billers and coders.
- Establish Standard Operating Procedures (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
- 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.
- 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: Athena, eCW, AdvancedMD, Kareo, Practice Fusion and NextGen.
- Proven ability to build and lead high-performing teams.
- Excellent written and verbal communication skills.
- Strong leadership presence and decision-making skills.
