Rcm Specialist/Lead
- Citiustech
- 7 - 11 years
- Pune
- 2 months ago
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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.
Job Classification
Industry: IT Services & ConsultingFunctional Area / Department: Customer Success, Service & OperationsRole Category: OperationsRole: Team LeaderEmployement Type: Full timeContact Details:
Company: CitiustechLocation(s): Pune
Keyskills: RCM Revenue Cycle Management Compliance Management US Healthcare Medical Billing
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Citiustech
Company Website: https://www.citiustech.com/aboutusCitiusTech is a specialist provider of healthcare technology services and solutions to healthcare technology companies, providers, payers and life sciences organizations. With over 4,500+ professionals worldwide, CitiusTech enable...
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