Senior Associate - Revenue Cycle Management

Aster Medcity is looking for Senior Associate - Revenue Cycle Management to join our dynamic team and embark on a rewarding career journey.
Revenue Cycle Oversight : Monitor and manage the revenue cycle process, from patient registration and scheduling to claim submission, payment posting, and collections. Billing and Coding Support : Review and validate billing and coding accuracy to ensure compliance with coding guidelines and payer requirements. Claims Management : Analyze and resolve claim rejections, denials, and appeals, working closely with the billing team to maximize reimbursement rates. Financial Analysis : Conduct regular analysis of revenue cycle metrics, identify trends, and implement process improvements to optimize financial performance. Performance Reporting : Prepare and present revenue cycle performance reports to management, highlighting key metrics, areas of improvement, and actionable recommendations. Compliance and Regulations : Stay updated with industry regulations, payer policies, and coding changes to ensure compliance and minimize financial risks. Staff Training and Development : Provide training and guidance to revenue cycle staff on best practices, policies, and procedures. Vendor Management : Collaborate with external vendors, such as clearinghouses and collection agencies, to optimize revenue cycle processes and resolve issues. Technology Utilization : Leverage revenue cycle management systems and technology tools to streamline processes, improve efficiency, and enhance data accuracy. Collaboration : Foster strong cross - functional relationships with clinical teams, finance, IT, and other stakeholders to drive revenue cycle optimization initiatives. Qualifications and Skills : Bachelor's degree in healthcare administration, business, finance, or a related field (or equivalent experience). At least 5 years of progressive experience in revenue cycle management within a healthcare organization. Strong understanding of healthcare reimbursement methodologies, including coding systems (e. g. , CPT, ICD - 10), billing regulations, and payer requirements. Proficiency in revenue cycle management systems and healthcare software applications (e. g. , electronic health records, billing systems). Excellent analytical and problem - solving skills, with the ability to interpret and analyze revenue cycle data. Knowledge of compliance and regulatory guidelines, such as HIPAA and Medicare/Medicaid. Strong interpersonal and communication skills, with the ability to collaborate effectively with cross - functional teams. Leadership abilities and experience in training and mentoring staff. Detail - oriented, organized, and able to prioritize tasks in a fast - paced environment. Professional certification in revenue cycle management (e. g. , Certified Revenue Cycle Representative, Certified Professional Coder) is a plus. Disclaimer : This job description has been sourced from a public domain and may have been modified by Naukri. com to improve clarity for our users. We encourage job seekers to verify all details directly with the employer via their official channels before applying.