
Clinical Revenue Cycle Manager
14 hours ago
We are seeking a highly experienced professional to oversee our revenue cycle management team. This role requires in-depth knowledge of the US healthcare revenue cycle, including medical billing, coding, prior authorization, denial management, and insurance verification.
- Leadership & Team Setup
- Recruit, train, and manage a team of skilled billers and coders.
- Establish processes, workflows, and performance metrics from scratch.
- Revenue Cycle Operations Management
- Medical Billing & Coding
- Prior Authorizations
- Payer Credentialing
- Insurance Verification
- Charge Entry & Payment Posting
- Denials Management
- Accounts Receivable (AR) Follow-ups
- Performance Monitoring & Quality Control
- Track 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 insights.
- Requirements & Qualifications
- 10+ years of experience in US RCM, with 3+ years in a leadership/supervisor role.
- Strong expertise in medical billing, 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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