
Business Process Manager
5 days ago
We are seeking an experienced Billing professional to lead and manage a new Revenue Cycle Management (RCM) team.
- This role requires end-to-end knowledge of the US healthcare revenue cycle, including Medical Billing, Coding, Prior Authorization, Denial Management, and Insurance Verification.
The ideal candidate will have 10+ years of experience in US RCM, with 3+ years in a billing manager/supervisor role, and expertise in medical billing, coding, prior authorization, denial management, and insurance verification.
Key Responsibilities
- Team Management: Recruit, train, and manage a team of billers and coders.
- Process Development: Establish SOPs, workflows, and performance metrics from the ground up.
Revenue Cycle Operations
- Medical Billing & Coding
- Prior Authorizations
- Payer Credentialing
- US Healthcare Insurance Verification
- Charge Entry & Payment Posting
- Denials Management
- Accounts Receivable (AR) Follow-ups
Performance Monitoring
- Monitor KPIs (AR days, First Pass Resolution Rate, and Denial %).
- Identify and resolve bottlenecks to improve revenue cycle efficiency.
Client Communication
- Liaise directly with stakeholders for process updates and escalations.
- Provide regular reports and actionable management insights.
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