Revenue Cycle Management Professional

5 days ago


Bhavnagar, Gujarat, India beBeeLeader Full time US$ 1,00,000 - US$ 1,20,000
US Revenue Cycle Management Leadership Opportunity

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.
Requirements
  • 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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