Revenue Cycle Operations Manager

1 week ago


Rawalpindi Cantonment, Pakistan Quaid Technologies Full time

Job Summary

We are seeking a seasoned RCM Manager 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:

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


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