
Leading Billing Manager
4 days ago
We are seeking a highly experienced professional to set up, lead, and manage a new Revenue Cycle Management (RCM) team.
- 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, 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.
This is an exciting opportunity to take on a challenging role that requires end-to-end knowledge of the US healthcare revenue cycle.
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