JD-RCM Implementation Lead Position Overview: This role is responsible for overseeing the entire revenue cycle process from patient registration to payment collection. The successful candidate will be responsible for ensuring that the healthcare organization's billing and coding processes are accurate and efficient, resulting in timely payment from insurance companies and patients. Roles and responsibilities: Oversee the entire revenue cycle process, including patient registration, insurance eligibility & Benefits verification, charge capture, coding, billing, and payment collection/posting (Must have good hands-on Basic Claims Adjudication, AR & Denial Management/Appeals Process). Manage a team of billing and coding professionals, including hiring, training, and performance evaluations. Good in People management. Ensure that all coding and billing practices are compliant with government regulations and industry standards, including HIPAA and CMS guidelines. Monitor and analyze revenue cycle metrics to identify areas of improvement and implement process improvements to optimize revenue cycle performance. Work with internal and external stakeholders, including healthcare providers, insurance companies, and patients, to resolve billing and payment-related issues. Stay up to date with changes in healthcare regulations, industry standards, and technology to ensure the organization's revenue cycle processes remain efficient and effective. Have a strong hold on Manage internal & or external stakeholders to meet the business objectives/goals. Should have a very good knowledge & Control on Production/Quality & Attrition Management. Work with team on the identified roadblocks / potential problems for processes/procedures and implement possible solutions to avoid any delivery impact. Responsible for P&L and meet monthly/quarterly/yearly GC and GM. Qualifications: Degree in any related field. 8+ years of experience in Revenue Cycle Management in the healthcare industry. Should be from a Provider Front RCM Line of Business. Payer front will be considered as a value added. Experience managing a team of Billing Team/AR and/or coding professionals. Show more Show less
Key Responsibilities Design, develop and test robust and scalable backend systems using Python. Develop and integrate RESTful APIs and third-party services. Write clean, maintainable, and well- documented code. Collaborate with front-end developers, designers, and product managers to implement features. Optimize application performance and resolve bugs and issues. Perform unit and integration testing to ensure software quality. Participate in code reviews and mentor junior developers if needed. Maintain and enhance existing : 3-4 years of professional experience in Python development. Strong understanding of core Python concepts, OOPs Experience with at least one web framework like Django, Flask, or FastAPI. Familiarity with RESTful API development and integration. Proficiency in working with relational and NoSQL databases (e.g., MySQL, MongoDB) and ORMs (e.g., SQLAlchemy, Django ORM). Good knowledge of unit testing frameworks like unittest, pytest. Experience with version control systems like Git. Experience with microservices architecture. Understanding of application security best practices (e.g., SQL injection prevention, secure API development). Exposure to message brokers like RabbitMQ, Kafka, or Celery. Experience with ELK stack (Elasticsearch, Logstash, Kibana) for logging and monitoring. Basic knowledge of Docker and containerization concepts Understanding of CI/CD pipelines and tools like Jenkins, GitLab CI, or GitHub Actions Preferred Skills Basic understanding of software design patterns (e.g., Singleton, Factory, Strategy) Exposure to AI and automation tools such as Flowise and n8n (ref:hirist.tech)
Key Responsibilities Design, develop and test robust and scalable backend systems using Python. Develop and integrate RESTful APIs and third-party services. Write clean, maintainable, and well-documented code. Collaborate with front-end developers, designers, and product managers to implement features. Optimize application performance and resolve bugs and issues. Perform unit and integration testing to ensure software quality. Participate in code reviews and mentor junior developers if needed. Maintain and enhance existing applications. Requirements: 5+ years of professional experience in Python development. Strong understanding of core Python concepts, OOPs Experience with at least one web framework like Django, Flask, or FastAPI. Familiarity with RESTful API development and integration. Proficiency in working with relational and NoSQL databases (e.g., MySQL, MongoDB) and ORMs (e.g., SQLAlchemy, Django ORM). Good knowledge of unit testing frameworks like unittest, pytest. Experience with version control systems like Git. Experience with microservices architecture. Understanding of application security best practices (e.g., SQL injection prevention, secure API development). Exposure to message brokers like RabbitMQ, Kafka, or Celery. Experience with ELK stack (Elasticsearch, Logstash, Kibana) for logging and monitoring. Basic knowledge of Docker and containerization concepts Understanding of CI/CD pipelines and tools like Jenkins, GitLab CI, or GitHub Actions Preferred Skills Basic understanding of software design patterns (e.g., Singleton, Factory, Strategy) Exposure to AI and automation tools such as Flowise and n8n