Senior Medical Billing Operations Manager

1 day ago

Mangalore, Karnataka, India beBeeMedicolegal Full time US$ 90,000 - US$ 1,20,000
Job Title: Senior Medical Billing Operations Manager

Role Overview:

We are seeking a seasoned professional to lead our medical billing operations team in India. This role requires end-to-end knowledge of the US healthcare revenue cycle, including Medical Billing, Medical Coding, Prior Authorization, Denial Management, and US Healthcare Insurance Verification.

Key Responsibilities
  • Recruit, train, and manage a team of billers and coders.
  • Establish processes, workflows, and performance metrics from the ground up.
Revenue Cycle Management Operations
  • 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.
Clients & Stakeholder Engagement
  • Liaise directly with stakeholders for process updates and escalations.
  • Provide regular reports and actionable management insights.
Requirements
  • 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.

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