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RCM Team Lead || AR Caller|| US Healthcare

2 - 5 years

3 - 5 Lacs

Posted:6 days ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

o Leadership & Team Management:

o

o Set performance benchmarks, monitor key metrics, and provide coaching and training to enhance team productivity.

o Conduct regular team meetings to address challenges, discuss process improvements, and ensure adherence to policies.

Revenue Cycle Operations & Optimization:

o Oversee claim submissions, payment posting, denial management, and accounts receivable follow-ups.

o Ensure timely resolution of claim denials and rejections to maximize reimbursement.

o Implement best practices to enhance revenue collection and minimize outstanding balances.

o Collaborate with coding and billing teams to ensure accurate claim submissions.

Denial Management & Accounts Receivable (AR) Resolution:

o Identify and analyse claim denial trends, working with internal teams to reduce future occurrences.

o Develop and implement effective appeal strategies for denied claims.

o Monitor aging reports and work on strategies to reduce AR days and improve cash flow.

Compliance & Regulatory Adherence:

o Ensure compliance with healthcare regulations, payer policies, and industry standards (HIPAA, Medicare, Medicaid, etc.).

o Stay updated on changes in reimbursement policies, coding updates, and regulatory requirements.

o Implement internal audit processes to maintain billing accuracy and compliance.

Experience: Minimum 2+ years required in RCM Team lead

Location: Pune

Salary depends on the Interview

HR Chanchal: 9251688424

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Glorious Hr Services
Glorious Hr Services

IT Services and IT Consulting

Ajmer Rajasthan

11-50 Employees

76 Jobs

    Key People

  • Jane Doe

    CEO
  • John Smith

    Chief Operating Officer

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