
Senior Revenue Cycle Management Leader
1 day ago
We are seeking an accomplished professional to lead our Revenue Cycle Management team.
Key Responsibilities- Team Setup & Leadership:
- Recruit, train and manage a team of experienced billers and coders.
- Establish processes, workflows and performance metrics from scratch.
- RCM Operations Management:
- Medical billing and coding
- Prior authorizations
- Payer credentialing
- Insurance verification
- Charge entry and payment posting
- Denial management
- Accounts receivable follow-ups
- Ensure HIPAA compliance and process efficiency.
- Performance & Quality Control:
- Monitor KPIs (accounts receivable days, first pass resolution rate, and denial percentage).
- Identify and resolve bottlenecks to improve revenue cycle efficiency.
- Client & Stakeholder Communication:
- 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 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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