Manager RCM Noida - 2 Openings

R Systems International

10 - 12 years

12 - 16 Lacs

Noida

Posted:2 months ago| Platform:

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Skills Required

Credentialing Eligibility Verification AR Calling Medical Billing Authorization HIPAA Charge Entry US Healthcare Payment Posting

Work Mode

Work from Office

Job Type

Full Time

Job Description

End-to-End RCM Manager (US Healthcare)

Roles & Responsibilities

Revenue Cycle Management:
Manage and optimize the entire RCM process.
Credentialing:
Oversee provider credentialing, revalidations, and insurance enrollments.
Payment Posting & Charge Entry:
Ensure accurate and timely payment postings and charge entries.
Authorization & Eligibility Verification:
Manage insurance eligibility checks and authorization processes.
Medical Billing & Claims:
Supervise billing, reduce denials, and enhance collections.
Adaptive Behavior Assessment:
Knowledge of ABAS or similar tools; ensure proper documentation and billing.
Team Leadership:
Train, mentor, and enhance team productivity.
Reporting & Analysis:
Generate reports, analyze data, and improve revenue generation.
Client & Stakeholder Communication:
Address queries, resolve issues, and provide updates.
Continuous Improvement:
Stay updated with industry changes and implement process improvements.

Please share CV at annu.misra@rsystems.com

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