Revenue Cycle Management Specialist

4 weeks ago


Vizag, Andhra Pradesh, India 2coms Full time
About 2coms

We are a forward-thinking organization dedicated to optimizing revenue cycle management processes for our clients.

Position Overview

We are seeking a motivated and experienced RCM Team Leader to oversee the daily operations of the RCM team, ensuring accurate and efficient revenue cycle processes.

Key Responsibilities
  • Team Leadership: Lead, mentor, and develop a team of RCM specialists, fostering a positive and productive work environment.
  • Process Management: Oversee the end-to-end revenue cycle process, including billing, coding, accounts receivable, and denial management.
  • Performance Monitoring: Track team performance metrics, identify areas for improvement, and implement strategies to enhance efficiency and accuracy.
  • Client Communication: Serve as the primary point of contact for clients, addressing any issues, concerns, or inquiries related to revenue cycle processes.
  • Compliance: Ensure that all processes comply with relevant regulations and standards, including HIPAA, ICD-10, and payer-specific guidelines.
  • Reporting: Prepare and present regular reports on team performance, revenue trends, and process improvements to senior management.
  • Problem Solving: Identify and resolve any issues or challenges in the revenue cycle process, ensuring timely and effective solutions.
  • Continuous Improvement: Drive initiatives for process optimization and automation, staying abreast of industry trends and best practices.
Qualifications
  • Education: Bachelor's degree in healthcare administration, business, finance, or a related field.
  • Experience: Minimum of 3-5 years of experience in revenue cycle management, at least 2 years in a leadership or supervisory role.
  • Technical Skills: Proficiency in RCM software, electronic health records (EHR), and medical billing systems.
  • Knowledge: Strong understanding of healthcare billing for laboratories and/or physicians, coding, and reimbursement processes, including knowledge of ICD-10, CPT, and HCPCS codes. Strong knowledge with payer guidelines; CMS, Workers Compensation and Commercial Insurance.
  • Leadership Skills: Proven ability to lead and manage a team, with strong communication and interpersonal skills.
  • Analytical Skills: Ability to analyze complex data, identify trends, and develop actionable strategies.
  • Problem-Solving: Strong problem-solving abilities with a focus on continuous improvement.
  • Attention to Detail: Meticulous attention to detail, with a commitment to accuracy and compliance.


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