RCM Team Lead - SRKay Consulting Group

  • Pune, Maharashtra, India
  • Apply by: Oct 31, 2024
  • 4 Vacancy
  • Local Candidates (India)
  • Shift: Third Shift (Night)
  • Degree: Graduate
  • Experience: 6 Year - 10 Year
  • Full Time/Permanent (hiring on behalf)
  • Work from Office
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Job Description

Skills -

RCM processes

Denial Management

Medical Billing operations

AR calling

Payment Processing

Team Handling

 

Key Responsibilities:

  1. Leadership and Team Management:
    • Lead a team of RCM specialists, providing guidance, training, and mentorship.
    • Set clear goals and objectives for the team and monitor performance metrics.
    • Foster a positive and collaborative work environment.
  2. Billing and Coding Oversight:
    • Ensure accurate coding of medical services and procedures.
    • Review and approve claims submissions to insurance companies and other payers.
    • Resolve billing discrepancies and denials promptly.
  3. Revenue Cycle Optimization:
    • Implement strategies to improve revenue cycle efficiency and effectiveness.
    • Identify opportunities for process improvement and cost reduction.
    • Monitor key performance indicators (KPIs) related to revenue cycle metrics.
  4. Compliance and Regulations:
    • Stay updated with healthcare regulations and compliance requirements.
    • Ensure that billing practices adhere to legal and ethical standards.
    • Collaborate with compliance officers to conduct audits and address any issues.
  5. Relationship Management:
    • Build and maintain relationships with external stakeholders, including insurers, patients, and healthcare providers.
    • Communicate effectively with internal teams to streamline information flow and resolve issues.

 

 

Skills Required