Senior Billing Executive

6 days ago


Rawalpindi Cantonment, Pakistan TrackoMed Full time

Job Summary:

We are looking for an experienced RCM Manager with at least 4 years of experience in medical billing to oversee and optimize the revenue cycle process. The ideal candidate should be well-versed in insurance verification, claim management, and denial resolution, ensuring efficient medical billing operations while maintaining compliance with healthcare regulations.

Key Responsibilities:

  1. Manage and monitor the daily workflow of medical billing processes, including charge entry, claims submission, payment posting, and AR follow-ups.
  2. Lead, mentor, and supervise remote medical billing teams, ensuring productivity targets and quality benchmarks are consistently met.
  3. Act as the primary point of contact for clients, addressing inquiries, resolving issues, and providing regular performance reports and updates.
  4. Identify process bottlenecks and implement strategies to streamline billing cycles, reduce claim denials, and improve cash flow.
  5. Ensure billing practices comply with healthcare regulations (e.g., HIPAA, payer policies) and maintain high accuracy and quality control standards.
  6. Track and report key performance indicators (KPIs) such as Days in AR, Clean Claim Rate, and Denial Rate, and provide actionable insights for improvement.
  7. Organize training sessions and continuous development programs for team members to keep them updated with the latest payer policies and coding changes.
  8. Proactively identify potential risks or errors in billing processes and implement corrective action plans to mitigate revenue loss.
  9. Work closely with coding teams, credentialing specialists, and revenue cycle management (RCM) teams to ensure smooth end-to-end operations.
  10. Recommend and assist in the implementation of medical billing software and tools to enhance team efficiency and data security.

Requirements:

  1. Minimum 4 years of experience in medical billing and revenue cycle management.
  2. Proficiency in medical billing software and RCM processes.
  3. Strong knowledge of medical terminology, insurance plans, and billing codes (ICD-10, CPT, HCPCS).
  4. Experience handling medical billing for various specialties.
  5. Excellent attention to detail, organizational skills, and problem-solving abilities.
  6. Strong communication skills for interacting with patients, insurers, and healthcare professionals.
  7. In-depth knowledge of healthcare regulations and compliance requirements, including HIPAA.

Benefits:

  1. Competitive salary and performance-based incentives.
  2. Health insurance benefits.
  3. Professional development opportunities.
  4. Friendly and collaborative work environment.

Work Timings:

6pm to 3am (Monday to Friday)

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