RCM Team Lead || AR Caller|| US Healthcare Glorious Hr Services

2.0 - 5.0 years

3 - 5 Lacs

Pune

Work from Office

o Leadership & Team Management: o Supervise and guide a team of RCM specialists to ensure smooth workflow and operational efficiency. o Set performance benchmarks, monitor key metrics, and provide coaching and training to enhance team productivity. o Conduct regular team meetings to address challenges, discuss process improvements, and ensure adherence to policies. Revenue Cycle Operations & Optimization: o Oversee claim submissions, payment posting, denial management, and accounts receivable follow-ups. o Ensure timely resolution of claim denials and rejections to maximize reimbursement. o Implement best practices to enhance revenue collection and minimize outstanding balances. o Collaborate with coding and billing teams to ensure accurate claim submissions. Denial Management & Accounts Receivable (AR) Resolution: o Identify and analyse claim denial trends, working with internal teams to reduce future occurrences. o Develop and implement effective appeal strategies for denied claims. o Monitor aging reports and work on strategies to reduce AR days and improve cash flow. Compliance & Regulatory Adherence: o Ensure compliance with healthcare regulations, payer policies, and industry standards (HIPAA, Medicare, Medicaid, etc.). o Stay updated on changes in reimbursement policies, coding updates, and regulatory requirements. o Implement internal audit processes to maintain billing accuracy and compliance. Experience: Minimum 2+ years required in RCM Team lead Location: Pune Salary depends on the Interview HR Chanchal: 9251688424

Posted 1 week ago

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