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Senior Revenue Cycle Manager

3 weeks ago

Bikaner, Rajasthan, India beBeeBillingManager Full time US$ 9,00,000 - US$ 12,00,000

We are seeking an experienced professional to lead and manage our revenue cycle management team.

Key Responsibilities
  • Manage a team of billers and coders.
  • Establish standard operating procedures, workflows, and performance metrics.
Revenue Cycle Management
  • Medical Billing & Coding: Submit claims to payers accurately and on time.
  • Prior Authorizations: Coordinate with payers for necessary authorizations.
  • Payer Credentialing: Verify payer information for accurate payment processing.
  • US Healthcare Insurance Verification: Validate patient insurance coverage and eligibility.
  • Charge Entry & Payment Posting: Accurately post payments and adjustments to patient accounts.
  • Denials Management: Investigate and resolve denied claims promptly.
  • Accounts Receivable (AR) Follow-ups: Pursue outstanding balances and resolve discrepancies.
Performance & Quality Control
  • Monitor key performance indicators: AR days, First Pass Resolution Rate, and Denial %.
  • Identify and resolve bottlenecks to improve revenue cycle efficiency.
Client & Stakeholder Communication
  • Liaise directly with stakeholders for process updates and escalations.
  • Provide regular reports and actionable insights.

Requirements:

  • 10+ years of 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.