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Billing Manager / Supervisor – US Medical Billing (RCM, Prior Authorization, Credentialing)

10 years

0 Lacs

india

Posted:6 days ago| Platform: Linkedin logo

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Skills Required

billing authorization credentialing healthcare coding management training metrics compliance resolve reports cpt ehr kareo fusion communication leadership

Work Mode

On-site

Job Type

Full Time

Job Description

Role Overview

highly experienced US Medical Billing professional


Key Responsibilities

Team Setup & Leadership

  • Recruit, train, and manage a team of 4+ experienced billers and coders.
  • Establish SOPs, workflows, and performance metrics from the ground up.

RCM 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 KPIs (AR days, First Pass Resolution Rate, and Denial %).
  • Identify and resolve bottlenecks to improve revenue cycle efficiency.


Client & Stakeholder Communication

  • Liaise directly with US stakeholders for process updates and escalations.
  • Provide regular reports and actionable management insights.


Requirements

  • 10+ years

    of proven experience in

    US RCM

    , with

    3+ years

    in a billing manager/supervisor role.
  • Strong expertise in medical billing,

    medical coding, prior authorization, denial management, and insurance verification.

  • Familiarity with

    ICD-10, CPT/HCPCS,

    and major PM/EHR systems (Athena, eCW, AdvancedMD, Kareo, Practice Fusion and NextGen).
  • 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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