
Senior Medical Billing Operations Manager
1 day ago
We are seeking an experienced professional to spearhead the establishment, direction, and management of a new Revenue Cycle Management (RCM) team.
Key Responsibilities:- Recruit, train, and manage a team of 4+ experienced billers and coders.
- Establish Standard Operating Procedures (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.
- Monitor Key Performance Indicators (KPIs): AR days, First Pass Resolution Rate, and Denial %.
- Identify and resolve bottlenecks to improve revenue cycle efficiency.
- Liaise directly with US stakeholders for process updates and escalations.
- Provide regular reports and actionable management insights.
The ideal candidate will possess:
- 10+ years of proven experience in US RCM, with 3+ years in a billing manager/supervisor 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.
To succeed in this role, you should have exceptional problem-solving skills, be proactive in identifying areas for improvement, and thrive in a fast-paced environment. If you are a driven and results-oriented professional looking to take your career to the next level, we encourage you to apply.
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