Experienced Revenue Cycle Manager

5 days ago

Mysore, Karnataka, India beBeeMedical Full time ₹ 5,00,000 - ₹ 10,00,000
Medical Billing Specialist Role

The Medical Billing Specialist plays a pivotal role in ensuring the seamless execution of billing processes, guaranteeing timely and accurate submissions of claims, efficient processing of payments, and strict adherence to industry regulations.

This position involves overseeing a team of billing specialists, coordinating with various departments, and optimizing billing procedures to enhance overall revenue cycle efficiency.

Key Responsibilities:

  • Supervise the accurate and timely processing of claims, ensuring compliance with payer guidelines and regulations.
  • Review and address billing discrepancies, rejections, and denials, implementing corrective actions as needed.
  • Develop and implement billing policies and procedures to improve accuracy and efficiency.
  • Collaborate with coding, compliance, and other departments to ensure accurate coding and documentation.
  • Analyse billing data and metrics to identify trends, issues, and opportunities for process improvements.
  • Ensure proper follow-up on unpaid or denied claims and manage the appeals process.
  • Oversee the use of billing software and electronic health record (EHR) systems, ensuring they are up-to-date and functioning properly.
  • Stay informed about changes in U.S. revenue cycle management practices and federal regulations to ensure billing processes remain compliant and optimized.
  • Provide guidance and training to the billing team on evolving industry standards and policy updates.

Requirements:

  • Bachelor's degree in business administration, Healthcare Administration, Finance, or a related field is required. Advanced degrees or certifications (e.g., Certified Professional Biller (CPB)) are a plus.
  • Proven experience with billing systems, payer guidelines, and regulatory compliance.
  • Strong understanding of U.S. revenue cycle management, including billing workflows, reimbursement methodologies, and common challenges.
  • Up-to-date knowledge of federal regulations, policy changes, and industry standards impacting medical billing practices.
  • Familiarity with billing software and electronic health records (EHR) systems.
  • Strong attention to detail, analytical skills, and the ability to work independently.
  • Excellent communication and collaboration skills.

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