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Healthcare Revenue Cycle Manager
11 hours ago
Job Title: Healthcare Revenue Cycle Manager
At PCS Pakistan, we are dedicated to providing exceptional healthcare management services for practices, including billing, credentialing, and administrative support. We aim to deliver efficient and effective solutions that allow healthcare providers to focus on delivering high-quality patient care.
Position Overview:
The Medical Billing Manager will be responsible for overseeing all aspects of medical billing operations, ensuring accurate and timely submission of claims to insurance companies, government programs, and patients. This role involves supervising a billing team, managing claim submissions, overseeing credentialing processes, and maintaining compliance with payer requirements and regulations.
Key Responsibilities:
- Lead the medical billing team to ensure accurate and timely submission of claims to insurance companies, government programs, and patients.
- Ensure compliance with payer guidelines, industry regulations, and the latest coding standards (ICD-10, CPT, HCPCS).
- Manage claim denials, coordinate appeals, and perform follow-up on unpaid or rejected claims.
- Monitor accounts receivable (AR) aging reports and work to reduce outstanding balances.
- Prepare and review billing reports, ensuring that all financial transactions are properly documented and reconciled.
- Collaborate with clinical teams to resolve coding issues and ensure accurate charge capture.
- Evaluate and streamline billing workflows for increased efficiency and reduced processing time.
Qualifications:
- Associate's or bachelor's degree in healthcare administration, business, or a related field is preferred.
- At least 8 years of experience in medical billing, including 3 years in a managerial or leadership role.
- Strong understanding of medical coding (ICD-10, CPT, HCPCS) and reimbursement policies.
- Minimum of 3 years of experience in credentialing healthcare providers with health plans and insurance carriers.
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