Senior Associate

5 days ago


Mangalore Mysore Hubli, India beBeeRevenuemanagement Full time ₹ 8,00,000 - ₹ 12,00,000
Job Title: Senior Associate - Revenue Cycle Management">

Aster Medcity is looking for a dynamic Senior Associate to join our team and embark on a rewarding career journey. As a Senior Associate in Revenue Cycle Management, you will be responsible for ensuring the efficient and effective functioning of the revenue cycle processes within a healthcare organization.

Responsibilities:

Revenue Cycle Oversight:

  • Manage and supervise the revenue cycle operations, ensuring compliance with regulatory requirements and industry best practices.
  • Develop and implement strategies to optimize revenue generation and enhance cash flow.
  • Monitor key performance indicators (KPIs) and financial metrics to identify trends, areas for improvement, and potential revenue leakage.
  • Collaborate with cross-functional teams, such as clinical departments, finance, coding, and compliance, to streamline revenue cycle processes.

Billing and Claims Management:

  • Oversee the timely and accurate submission of claims to third-party payers, including Medicare, Medicaid, commercial insurance companies, and self-pay patients.
  • Monitor claim status and work closely with the billing team to resolve any coding or billing discrepancies.
  • Analyze denial patterns, identify root causes, and implement corrective measures to minimize denials and maximize collections.
  • Stay updated with changes in healthcare regulations, payer policies, and coding guidelines to ensure compliance and accurate billing.

Accounts Receivable Management:

  • Review and analyze accounts receivable aging reports to identify delinquent accounts and take appropriate actions for timely payment.
  • Implement strategies for effective accounts receivable follow-up, including phone calls, appeals, and negotiations with payers and patients.
  • Collaborate with the finance team to reconcile payments, identify posting errors, and resolve outstanding balances.
  • Provide guidance and support to the team in resolving complex billing and reimbursement issues.

Process Improvement:

  • Continuously assess revenue cycle processes, identify inefficiencies, and recommend process improvements to enhance operational efficiency and revenue integrity.
  • Implement automation and technology solutions to streamline workflows and reduce manual intervention.
  • Conduct regular audits and reviews to ensure compliance with coding guidelines, billing regulations, and internal policies.
  • Develop and deliver training programs to educate staff on revenue cycle best practices, coding updates, and compliance requirements.

Required Skills and Qualifications:

  • Bachelor's degree in Healthcare Administration, Business Administration, or a related field (master's degree preferred).
  • Experience in revenue cycle management or healthcare finance.
  • Strong knowledge of healthcare reimbursement systems, billing regulations, and coding guidelines (e.g., CPT, ICD-10, HCPCS).
  • Proficiency in using revenue cycle management software and electronic health record (EHR) systems.
  • Familiarity with third-party payer requirements, including Medicare, Medicaid, and commercial insurance.
  • Excellent analytical and problem-solving skills with the ability to interpret financial data and identify trends.
  • Strong leadership and team management abilities.
  • Effective communication and interpersonal skills to collaborate with various stakeholders.
  • Certified Professional Biller (CPB) or Certified Revenue Cycle Specialist (CRCS) certification is a plus.

Benefits:

  • This role offers opportunities for professional growth and development.
  • The ideal candidate will have strong leadership and team management skills.
  • This job requires excellent analytical and problem-solving skills.


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