Manager ( US Healthcare - Billing ) ( Noida)
1 week ago
Role & responsibilities
Billing Operations/Payment posting:
- Oversee daily billing activities including charge entry, claim creation, and submission.
- Ensure accurate and timely billing in compliance with payer requirements and internal policies.
- Collaborate with coding and AR teams to resolve billing discrepancies and denials.
- Monitor billing KPIs such as clean claim rate, first-pass resolution rate, and billing lag.
- Manage the posting of payments, adjustments, and denials from ERA/EOBs.
- Ensure reconciliation of payments with bank deposits and remittance advice.
- Identify and escalate posting discrepancies or payer issues.
- Maintain accurate records for audits and reporting.
Team Leadership & Development:
- Lead, mentor, and develop billing and posting team members.
- Conduct regular performance reviews and support career development.
- Foster a culture of accountability, ownership, and continuous improvement.
Process & Compliance:
- Implement and refine SOPs for billing and posting workflows.
- Collaborate with internal audit and compliance teams for periodic reviews.
Reporting & Analysis:
- Generate and analyze operational reports to track performance and identify trends.
- Present insights and recommendations to senior leadership.
- Support month-end and year-end financial close processes.
Qualifications:
- Bachelors degree
- 10+ years of experience in healthcare billing and payment posting, with at least 2 years in a managerial role.
- Strong knowledge of payer guidelines, EDI transactions, and RCM systems
- Excellent analytical, communication, and leadership skills.
- Proficiency in Excel and reporting tools.
Preferred Attributes:
- Experience in physical therapy or multi-specialty clinic billing.
- Familiarity with incentive-driven team management.
- Ability to thrive in a fast-paced, evolving environment.
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