Senior Manager

4 days ago

Coimbatore, Tamil Nadu, India EqualizeRCM Services Full time ₹ 20,00,000 - ₹ 25,00,000 per year

Description:

  • Oversee the entire revenue cycle process, including patient registration, insurance eligibility & Benefits verification, charge capture, coding, billing, and payment collection/posting (Must have good hands-on Basic Claims Adjudication, AR & Denial Management/Appeals Process).
  • Manage a team of accounts receivable and billing professionals, including hiring, training, and performance evaluations.
  • Ensure that all coding and billing practices are compliant with government regulations and industry standards, including HIPAA and CMS guidelines.
  • Monitor and analyse revenue cycle metrics to identify areas of improvement and implement process improvements to optimise revenue cycle performance.
  • Work with internal and external stakeholders, including healthcare providers, insurance companies, and patients, to resolve billing and payment-related issues.
  • Stay up to date with changes in healthcare regulations, industry standards, and technology to ensure the organisation's revenue cycle processes remain efficient and effective.
  • Monitor key performance indicators and adjust processes as needed to meet goals.
  • Conduct regular training and education sessions to keep staff up to date on changes in regulations and best practices.
  • Perform end-to-end business diagnostic analysis to dissect to identify potential risks, gaps, and areas of improvement.
  • Have a strong hold on managing internal & or external stakeholders to meet the business objectives/goals.
  • Looking after capacity planning, staffing forecast and administration of the operations floor.

Qualifications:

  • Degree in any related field.12+ years of experience in Revenue Cycle Management in the US healthcare industry

Key skills:

  • 12+ years experience overseeing the end-to-end Revenue Cycle Management (US Healthcare).
  • Should have strong domain knowledge with the ability to handle a team size of up to 50+ people across multiple functions like Eligibility Verification, Prior Authorisation, AR, Denial Management, Billing and preferably payment posting.
  • Excellent written and verbal communication skills, with demonstrated ability to communicate effectively with executive leadership and all levels of the organisation.
  • Proficient in MS Office applications, especially in MS Excel.
  • Should have exposure to the complete medical billing cycle understanding each process.
  • Should be a team player and collaborate in solving any issues that might arise in day-to-day transactions.

Should have a very good knowledge & Control on Production/Quality & Attrition Management

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