01Overview
Job Overview
We are seeking an Assistant Manager with deep expertise in Revenue Cycle Management (RCM) to lead and optimize RCM processes for our healthcare clients across multiple locations.
Location
Trichy & Mumbai
Experience & Qualifications
10+ years overall RCM experience.
Minimum 4+ years as Assistant Manager (On paper mandatory).
Strong knowledge of billing, denials management, prior authorization, eligibility verification, appeals, credentialing, underpayments, overpayments, credit balance, accounts receivable, and quality analysis.
Experience in managing RCM teams or projects.
Key Responsibilities
Oversee end-to-end RCM operations including physician billing, denials management, prior authorization, eligibility verification, appeals, and credit balance reconciliation.
Lead and mentor the Accounts Receivable team, ensuring accurate, timely collection and resolution of underpayments and overpayments.
Develop and implement strategies to improve collections and reduce denials, ensuring compliance with industry standards and regulatory requirements.
Collaborate with coding and clinical teams to optimize coding accuracy and productivity.
Monitor key performance indicators, generate reports, and present insights to stakeholders.
Preferred Skills & Certifications
Certification in medical coding (ICD, CPT, HCPCS).
Experience with coding specialties: IP DRG / IVR, Surgery / General Surgery / SDS, Multispecialty Denials, E&M (IP/OP), ED Profee, ED Facility.
Knowledge of senior coder, quality analyst, manager, senior manager, subject matter expert, process coach roles within RCM.
Strong analytical, communication, and leadership skills.
Benefits
Competitive compensation.
Opportunity to work with leading healthcare organizations.
Professional growth and career advancement.
