
Revenue Cycle Management Professional
5 days ago
We are seeking an experienced and skilled professional to establish, manage, and lead a new revenue cycle management (RCM) team.
- Team Setup & Leadership:
- Lead the recruitment, training, and management of a team of billers and coders.
- Develop and implement standard operating procedures (SOPs), workflows, and performance metrics from the ground up.
- RCM Operations Management:
- Manage medical billing and coding services.
- Coordinate prior authorizations, payer credentialing, US healthcare insurance verification, charge entry, payment posting, denials management, and accounts receivable follow-ups.
- Ensure compliance with HIPAA regulations and optimize process efficiency.
- Performance & Quality Control:
- Monitor key performance indicators (KPIs) such as average days in accounts receivable, first-pass resolution rate, and denial percentage.
- Identify and resolve bottlenecks to improve revenue cycle efficiency.
- Client & Stakeholder Communication:
- Communicate directly with stakeholders for process updates and escalations.
- Provide regular reports and actionable insights to support informed decision-making.
- A minimum of 10 years of experience in US RCM, with at least 3 years in a leadership or supervisor role.
- Proven expertise in medical billing, medical coding, prior authorization, denial management, and insurance verification.
- Familiarity with ICD-10, CPT/HCPCS, and major practice management/electronic health record (PM/EHR) systems.
- Strong leadership presence, excellent written and verbal communication skills, and decision-making abilities.
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