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Rcm Specialist/Lead

Rcm Specialist/Lead

Citiustech

7 - 11 years

4 - 9 Lacs

Pune Chennai

Posted:1 month ago| Platform:

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Skills Required

RCM Revenue Cycle Management Compliance Management US Healthcare Medical Billing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Job Role: RCM Senior Specialist/Consultant Location: Chennai & Pune Work Mode: Hybrid Experience: 7 - 11 years (relevant) Overview: A Senior RCM Specialist/Consultant manages the revenue cycle process in healthcare settings, ensuring accuracy in billing and collections. They analyze and improve systems to maximize revenue and efficiency, work closely with finance teams, and handle complex claims to optimize reimbursements Role & responsibilities: Manage and optimize the revenue cycle process from patient registration to final payment. Conduct in-depth analysis of billing and coding procedures to identify areas for improvement. Ensure compliance with healthcare regulations and coding standards. Collaborate with cross-functional teams to identify areas for improvement and execute data-informed strategies. Prepare and present financial reports to senior management. Serve as a primary point of contact for escalations related to claim processing and insurance reimbursements. Communicate regularly with internal and external stakeholders to ensure alignment on objectives and expectations. Preferred candidate profile: Minimum of 7+ years of relevant experience in revenue cycle management, with a proven track record in managing insurance claims, backlogs, and denials. Extensive knowledge of healthcare billing, coding, and reimbursement processes. Proven track record of improving financial performance in a healthcare setting. Strong understanding of healthcare regulations and compliance. Strong leadership and team management skills, with experience managing large, diverse teams. Proficiency in RCM software, data analytics tools, and advanced Excel functions. Exceptional problem-solving skills and attention to detail. Outstanding communication and organizational skills, with the ability to manage multiple priorities effectively.

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Rcm Specialist/Lead