Senior Revenue Cycle Management Professional

4 hours ago

Gandhinagar, Gujarat, India beBeeRevenue Full time ₹ 60,00,000 - ₹ 1,20,00,000
Key Role Summary

We are seeking an accomplished and seasoned professional to spearhead the Revenue Cycle Management (RCM) team. This position demands extensive knowledge of the US healthcare revenue cycle, encompassing Medical Billing, Medical Coding, Prior Authorization, Denial Management, and US Healthcare Insurance Verification.

Role Objectives:

  • Team Leadership and Setup
    • Recruit, train, and manage a team of experienced billers and coders.
    • Establish Standard Operating Procedures (SOPs), workflows, and performance metrics.
  • Revenue Cycle 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 Enhancement and Quality Control
    • Monitor Key Performance Indicators (KPIs).
    • Identify and resolve bottlenecks to improve revenue cycle efficiency.
  • Client Communication and Stakeholder Liaison
    • Liaise directly with stakeholders for process updates and escalations.
    • Provide regular reports and actionable management insights.

Essential Requirements:

  • More than 10 years of proven experience in US RCM, with at least 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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