Medical Billing Manager / RCM Manager

13 - 20 years

10 - 20 Lacs

Posted:1 day ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Role & responsibilities

  • Manage end-to-end Revenue Cycle Management (RCM) operations
  • Oversee medical billing, charge entry, claim submission, and billing compliance
  • Ensure adherence to US healthcare payer guidelines (Medicare, Medicaid, Commercial payers)
  • Lead and manage medical billing teams and billing operations
  • Monitor billing KPIs, productivity, accuracy, and quality metrics
  • Analyze denials, rejections, and billing trends
  • Implement process improvement and operational best practices
  • Coordinate with AR, coding, and operations teams for revenue optimization

Preferred candidate profile

  • 15+ years experience in US Medical Billing / RCM
  • Strong knowledge of medical billing processes, claim lifecycle, and payer rules
  • Expertise in CPT, ICD-10, HCPCS (billing perspective)
  • Knowledge of Medicare, Medicaid, Commercial Insurance
  • Strong team management, leadership, and reporting skills
  • Experience with billing audits, compliance, and quality control
  • Exposure to denial management and root cause analysis
  • Must be from start-up or mid-size company

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