RCM

We are seeking an experienced and dynamic Billing Manager to lead our U.S. healthcare billing and revenue cycle operations. The ideal candidate will possess deep domain knowledge, leadership experience, and a track record of success in managing end-to-end medical billing functions within a BPO or third-party RCM setup.

Operational Leadership:

• Manage the full revenue cycle including charge entry, claims submission, payment posting, denial management, and patient billing.
• Monitor and improve key RCM metrics such as AR days, collection efficiency, clean claim rate, and denial percentage.
• Develop, document, and implement SOPs and quality assurance procedures across the billing function.

Compliance & Quality Control:

• Ensure adherence to HIPAA, CMS, Medicare/Medicaid, and payer-specific regulations.
• Perform periodic audits to ensure claims accuracy and regulatory compliance.
• Stay updated with changes in billing/coding guidelines and payer rules.

Team Management:

• Lead and mentor a team of medical billers, A/R specialists, and coders.
• Conduct regular performance evaluations, coaching sessions, and training programs.
• Drive engagement and retention through career development initiatives and knowledge-sharing forums.

Client Coordination:

• Serve as the primary contact for U.S. clients regarding billing performance, escalations, and reporting.
• Lead monthly/quarterly review meetings and provide insights on aging reports, denial trends, and process improvements.
• Customize workflows based on client-specific protocols and compliance requirements.

Denial Management:

• Oversee root cause analysis and resolution of denials.
• Guide the team on effective appeals, re-submissions, and workflow automation strategies to minimize denials.

Technology & Reporting:

• Leverage billing platforms (e.g., Kareo, Athena, eCW, AdvancedMD), clearinghouses, and analytics tools (Excel, Power BI, Tableau).
• Implement automation and RPA for key processes like remittance posting and eligibility checks.
• Monitor performance via dashboards and drive data-backed decision-making.

Job Types: Full-time, Permanent, Fresher

Pay: ₹100,000.00 per month

Benefits:

• Health insurance
• Life insurance
• Provident Fund

Schedule:

• Monday to Friday
• Night shift
• US shift

Work Location: In person