
Experienced RCM Professional Wanted
6 hours ago
We are seeking an experienced Revenue Cycle Management professional to set up and manage a new team in India.
The ideal candidate will have expertise in medical billing, coding, prior authorization, denial management, and insurance verification.
Key Responsibilities- Lead a team of 4+ experienced billers and coders in the US Medical Billing domain.
- Establish Standard Operating Procedures, workflows, and performance metrics from the ground up.
- Medical Billing & Coding
- Prior Authorizations
- Payer Credentialing
- US Healthcare Insurance Verification
- Charge Entry & Payment Posting
- Denials Management
- Accounts Receivable (AR) Follow-ups
- Monitor Key Performance Indicators (KPIs): AR days, First Pass Resolution Rate, and Denial %.
- Identify and resolve bottlenecks to improve revenue cycle efficiency.
- Liaise with stakeholders for process updates and escalations.
- Provide regular reports and actionable insights.
- 10+ years of experience in US RCM, with 3+ years in a supervisor role.
- Familiarity with ICD-10, CPT/HCPCS, and major PM/EHR systems: Athena, eCW, AdvancedMD, Kareo, Practice Fusion, and NextGen.
- Proven ability to build and lead high-performing teams.
- Excellent written and verbal communication skills.
- Strong leadership presence and decision-making skills.
A rewarding career opportunity with a dynamic organization that values innovation and excellence.
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