Manager ( US Healthcare - Billing ) ( Noida)

1 week ago


Ghaziabad New Delhi Noida, India Provana Full time ₹ 12,00,000 - ₹ 24,00,000 per year

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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