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AM/DM (Pricing and Revenue assurance) - Accounts & Finance (Gurugram) Max Healthcare

5.0 - 10.0 years

5 - 8 Lacs

Gurugram

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Job Description Max Healthcare is seeking a dynamic Assistant Manager/Deputy Manager (Pricing and Revenue Assurance) to join our Accounts & Finance team. The role is pivotal in supporting the Business Finance and Pricing team by ensuring accurate billing, identifying revenue leakages, reviewing package material consumption, and driving financial excellence across the group. Key Responsibilities: Key Activities performed by Concurrent Auditor: Focus on Revenue Assurance, Billing Accuracy and Consumption. Co-ordination with Central Team for IT developments & Tariff changes etc. in order to eliminate chances of wrong /Misc. billing. Reconciliation of Diagnostics Revenue in RIS PACS with HIS. Focuses on identifying Process gaps related with non-charging of services. Other Focus Areas: Review of discount and refunds as per policy. Keep a track over all the service to be charged as per the consumable usage like Ventilator Initiation, Endotracheal Intubation, Catheterization, Nebulization, Sugar Strip, ABG and Equipment etc. Constant interaction with IP Billing and Finance Team of all Max Units for exceptions reporting. Responsible for resolving Queries for External / Internal auditors. To keep a tab on all Billing related policies and procedures and amendment thereof. Review existing Billing packages as well as development of new packages. Review of the doctor payout module and propose innovative development initiatives for enhancement Review of HIS issue/Bug and follow up with IT team for corrective action and development. JOB REQUIREMENTS Minimum Qualifications : - B.Com / MBA Experience : - 5 to 10 years of relevant experience. Technical Skills Excellent HIS knowledge of big healthcare, excellent in MS excel. Analytical Skills Good Domain Knowledge Package preparation Regards, Sujeet Sinha

Posted 3 weeks ago

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Revenue Cycle Manager Extreme Agile

7 - 10 years

0 - 1 Lacs

Noida

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The SNF Revenue Cycle Manager oversees all billing, coding, A/R, and collections to ensure proper reimbursement for skilled nursing facility services. Key Responsibilities: Manage SNF-specific revenue cycle workflows . Oversee PDPM billing accuracy and Medicaid reimbursements . Work with state Medicaid agencies to resolve claim issues . Analyze aging reports and improve collections performance . Ensure compliance with CMS and state Medicaid billing requirements. Deep knowledge of PDPM, RUG-IV, and Medicaid case-mix reimbursement models .

Posted 3 months ago

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