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Senior Billing Operations Executive
3 weeks ago
Are you an experienced billing professional seeking a challenging role that requires end-to-end knowledge of the US revenue cycle? We are looking for a skilled leader to manage a team in India and drive process efficiency.
The ideal candidate will have a strong background in medical billing, coding, prior authorization, denial management, and insurance verification. They will be responsible for setting up and leading a team of billers and coders, establishing processes, training staff, and ensuring compliant delivery for US clients.
Key Responsibilities:- Team Setup & Leadership
- Recruit, train, and manage a team of 4+ experienced billers and coders.
- Establish 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 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, 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.
