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Revenue Cycle Management Leader
3 days ago
Hirestaff.ai is a leading global talent acquisition and staffing solutions provider, specializing in connecting businesses with top-tier professionals across various industries.
We pride ourselves on our deep industry expertise, cutting-edge technology, and personalized approach to recruitment.
Our company fosters a collaborative and supportive work environment where our team members are empowered to excel and make a real impact in the world of talent acquisition.
We are committed to building long-lasting relationships with both clients and candidates, ensuring the perfect match for every role.
About This Position:We are seeking a seasoned Revenue Cycle Manager to join our team and lead our revenue cycle operations.
This onsite, night-shift position (7 PM – 4 AM PKT, aligned with U.S. Central Time) requires a strong leader with extensive experience in medical billing, insurance claims, accounts receivable management, payment posting, prior authorizations, credentialing, and verification.
- Provide strategic leadership to the revenue cycle team, ensuring smooth operations and process optimization.
- Oversee the entire revenue cycle process, including charge capture, coding, billing, claims submission, payment posting, and denial management.
- Ensure timely and accurate claims processing to minimize denials and maximize reimbursement.
- Lead and manage an onsite team handling credentialing, verification, accounts receivable, medical billing, payment posting, and prior authorizations.
- Develop and maintain strong relationships with clients, ensuring seamless communication and service delivery.
- Monitor accounts receivable (A/R) and implement strategies to reduce outstanding balances.
- Ensure compliance with HIPAA, Medicare, Medicaid, and other payer regulations.
- Analyze revenue cycle performance metrics, identify areas for improvement, and implement corrective actions.
- Work closely with healthcare providers, insurance companies, and internal teams to resolve billing issues and reimbursement delays.
- Keep up-to-date with changes in medical billing codes (CPT, ICD-10), insurance policies, and industry regulations.
Key Responsibilities:
- Provide strategic leadership to the revenue cycle team.
- Oversee the entire revenue cycle process.
- Ensure timely and accurate claims processing.
- Lead and manage an onsite team.
- Develop and maintain strong relationships with clients.
- Monitor accounts receivable and implement strategies to reduce outstanding balances.
- Ensure compliance with HIPAA, Medicare, Medicaid, and other payer regulations.
- Analyze revenue cycle performance metrics and implement corrective actions.
- Work closely with healthcare providers, insurance companies, and internal teams.
- Keep up-to-date with changes in medical billing codes, insurance policies, and industry regulations.
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