Chief Medical Billing Officer

3 days ago

Coimbatore, Tamil Nadu, India beBeeBilling Full time ₹ 10,00,000 - ₹ 15,00,000

Our organization is seeking a seasoned medical billing professional to establish and oversee a new Revenue Cycle Management (RCM) team in India.

This role requires comprehensive knowledge of the US healthcare revenue cycle, including medical billing, coding, prior authorization, denial management, and insurance verification.

Key Responsibilities:
  • Team Setup & Leadership:
    • Recruit, train, and manage a team of experienced billers and coders.
    • Establish Standard Operating Procedures (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 Key Performance Indicators (KPIs) such as 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.
Requirements:
  • 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 (Athena, eCW, AdvancedMD, Kareo, Practice Fusion and NextGen).
  • Proven ability to build and lead high-performing teams.
  • Excellent written and verbal communication skills.
  • Strong leadership presence and decision-making skills.

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