RCM Specialist

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hr@yogesher.com

Position Overview:

We are looking for a Revenue Cycle Management Expert to lead and optimize the billing processes within our dynamic healthcare organization. This role is essential for driving operational excellence, ensuring timely and accurate revenue capture, and maximizing reimbursement. As the primary subject matter expert, you will play a critical role in ensuring that our billing office operates smoothly, efficiently, and in full compliance with all regulations. The ideal candidate is a seasoned professional with a deep understanding of the end-to-end revenue cycle, from coding and claims submission to payment reconciliation and denial management. You should have a strong track record in improving revenue cycle performance, minimizing accounts receivable days, and enhancing the overall financial health of the organization.

Key Responsibilities:

• End-to-End Revenue Cycle Management

• Claims Processing & Denial Resolution

• Coding & Billing Compliance

• Insurance Verification & Authorization

• Financial Reporting & Revenue Optimization

• Patient Billing & Account Management

• Process Improvement & Efficiency

• Compliance & Risk Management

• Credentialing & Enrollment

Requirements: Experience:

5+ years of hands-on experience in revenue cycle management with a focus on medical billing, coding, and collections.

At least 3 years of experience in a leadership or expert-level role within a healthcare organization.

Skills & Expertise:

• Extensive knowledge of medical billing systems and coding (ICD-10, CPT, HCPCS).

• Proficiency with electronic health record (EHR) systems and practice management software (e.g., Epic, Cerner, NextGen).

• Expertise in insurance verification, payer contracts, and prior authorization processes.

• Strong understanding of payer reimbursement models, including government (Medicare, Medicaid) and commercial insurance.

• In-depth experience in denial management, appeals, and collection strategies. • Proficient in financial reporting, key performance metrics, and AR management.

• Excellent communication and interpersonal skills, capable of interacting with patients, insurance companies, and internal teams.

• Strong leadership, problem-solving, and conflict-resolution skills.

Why Join Us?

• Growth Opportunities: Potential for career advancement and skill development in the healthcare sector.

• Dynamic Work Environment: Work in a collaborative and fast-paced environment with a focus on innovation and improvement.

• Healthcare Benefits: Access to comprehensive health plans, wellness programs, and other employee benefits.

• Training & Development: Continuous training to enhance your skills and career progression within the company.

About Us:

Yogesher is a healthcare revenue cycle management and medical billing company offering global capabilities & specialized solutions. By utilizing industry-leading technology in conjunction with high-touch relationship building, we enable healthcare practitioners and facilities to focus on patient care, maintain financial independence, and cultivate financial success—an end-to-end value-added services partner for extended.

hr@yogesher.com