Chief Medical Billing Officer

4 days ago


Guntur, Andhra Pradesh, India beBeeLeadership Full time ₹ 12,00,000 - ₹ 15,00,000
Medical Billing Leadership Position">

We are seeking a seasoned Senior Medical Billing expert to spearhead our Revenue Cycle Management (RCM) initiative. The ideal candidate will have a strong background in US healthcare revenue cycle management, encompassing medical billing, coding, prior authorization, and denial resolution.

Key Responsibilities:

  • Lead a team of skilled billers and coders, fostering growth and productivity.
  • Establish and implement efficient processes, workflows, and performance metrics from the ground up.

RCM Operations Oversight:

  • Medical Billing & Coding: Ensure seamless and timely submission of claims, maintaining accuracy and compliance.
  • Prior Authorizations: Coordinate with payers to secure necessary approvals, streamlining the process.
  • Payer Credentialing: Establish and maintain key relationships with major payers, enhancing business opportunities.
  • US Healthcare Insurance Verification: Verify patient coverage and benefits, ensuring optimal reimbursement.
  • Charge Entry & Payment Posting: Process payments and adjust accounts as needed, maintaining financial integrity.
  • Denials Management: Investigate and resolve denied claims efficiently, minimizing losses.
  • Accounts Receivable (AR) Follow-ups: Proactively pursue outstanding balances, optimizing cash flow.
  • Maintain HIPAA compliance and optimize process efficiency.

Performance & Quality Control:

  • Monitor key performance indicators (KPIs), such as AR days, First Pass Resolution Rate, and Denial %.
  • Identify bottlenecks and implement solutions to enhance revenue cycle efficiency, driving business growth.

Client & Stakeholder Communication:

  • Liaise directly with stakeholders for process updates and escalations, ensuring transparency.
  • Provide regular reports and actionable insights to inform business decisions, driving strategic direction.

Requirements:

  • 10+ years of experience in US RCM, with 3+ years in a billing manager/supervisor role.
  • Expertise in medical billing, coding, prior authorization, denial management, and insurance verification.
  • Familiarity with ICD-10, CPT/HCPCS, and major PM/EHR systems.
  • A proven track record of building and leading high-performing teams.
  • Excellent written and verbal communication skills.
  • Strong leadership presence and decision-making skills.


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