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US RCM Team Manager Position
2 weeks ago
Job Overview: We are seeking a highly experienced US Medical Billing professional to establish and manage a new Revenue Cycle Management (RCM) team.
Key Responsibilities:- Recruit, train, and lead a team of 4+ experienced billers and coders.
- Develop SOPs, workflows, and performance metrics from the ground up.
- 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.
- Track KPIs (AR days, First Pass Resolution Rate, and Denial %).
- Identify and resolve bottlenecks to improve revenue cycle efficiency.
- Liaise directly with stakeholders for process updates and escalations.
- Provide regular reports and actionable insights.
- 10+ years of proven experience in US RCM, with 3+ years in a leadership 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.
