Chief Medical Claims Specialist

5 days ago

Vizag, Andhra Pradesh, India beBeeBilling Full time ₹ 17,65,432 - ₹ 23,45,678

We are seeking a highly experienced professional to set up, lead, and manage a new Revenue Cycle Management team.

Billing Manager Job Description

This role requires end-to-end knowledge of the US healthcare revenue cycle, including medical billing, coding, prior authorization, denial management, and US healthcare insurance verification.

Key Responsibilities:
  • Team Setup & Leadership:
    • Recruit, train, and manage a team of experienced billers and coders.
    • Establish business processes, workflows, and performance metrics from the ground up.
  • 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 & Quality Control:
    • Monitor key performance indicators (KPIs).
    • Identify and resolve bottlenecks to improve revenue cycle efficiency.
  • Client & Stakeholder Communication:
    • Liaise directly with stakeholders for process updates and escalations.
    • Provide regular reports and actionable management insights.
Requirements:
  • 10+ years of proven experience in US Revenue Cycle Management, 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 practice management/electronic health record 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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