Chief Billing Operations Specialist

3 days ago

Pune, Maharashtra, India beBeeOperations Full time ₹ 1,33,17,720 - ₹ 1,54,25,230
Lead Medical Billing Operations Manager

We seek an experienced professional to oversee the setup, management and development of our Revenue Cycle Management (RCM) operations. This role requires in-depth knowledge of the US healthcare revenue cycle.

Key Responsibilities:
  • Manage a team of medical billers and coders.
  • Establish Standard Operating Procedures (SOPs), workflows and performance metrics.
Revenue Cycle Operations Management:
  • 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 Metrics & Quality Control:
  • Monitor Key Performance Indicators (KPIs) such as AR days, First Pass Resolution Rate and Denial %.
  • Identify and resolve bottlenecks to improve revenue cycle efficiency.
Communication:
  • Liaise directly with stakeholders for process updates and escalations.
  • Provide regular reports and actionable insights.
Requirements:
  • 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.
Benefits:

This role offers a challenging opportunity to grow professionally and develop your leadership skills in a dynamic environment.

A strong network of experienced professionals who can provide guidance and support will be available to you.

How to Apply:

To apply, please submit your application materials with your relevant experience and qualifications.

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