01Overview
The hiring requirement is as follows:
Team Lead (DME Billing):
1. Mohali - 1 position
2. Jaipur - 2 position
Assistant Manager (DME Billing):
1. Mohali - 2 position
2. Jaipur -2 position
Role & responsibilities We are seeking an experienced and results-driven DME Billing to lead a team of billing and revenue cycle professionals supporting US Healthcare clients.
The role will be responsible for managing day-to-day DME billing operations, ensuring productivity, quality, compliance, and revenue optimization while driving operational excellence.
The ideal candidate should possess solid expertise in DME Billing, Medicare/Medicaid guidelines, Commercial Insurance billing, AR Management, Denials Management, and Team Leadership.
KEY RESPONSIBILITIES
Operations Management
Manage end-to-end DME Billing operations and ensure achievement of productivity, quality, and financial targets.
Lead multiple teams handling billing, AR follow-up, denial management, payment posting, and appeals.
Monitor operational KPIs and drive continuous improvement initiatives.
Ensure timely claim submission and maximize collections through effective AR management.
Analyze operational performance and implement corrective action plans. Team Leadership & People Management
Lead, mentor, and develop Team Leads and billing specialists.
Manage workforce planning, resource allocation, and team productivity.
Conduct performance reviews, coaching sessions, and succession planning.
Foster a high-performance and employee-centric work culture.
Drive employee engagement and retention initiatives.
Client & Stakeholder Management
Act as the primary point of contact for internal stakeholders and support client interactions.
Present operational reviews, performance reports, and improvement plans.
Ensure adherence to client SLAs, KPIs, and contractual commitments.
Collaborate with cross-functional teams including Quality, Training, HR, and Reporting.
Revenue Cycle Management
Drive initiatives to improve collections and reduce denials.
Monitor AR aging and identify opportunities for revenue enhancement. Ensure compliance with Medicare, Medicaid, HIPAA, and commercial payer regulations.
Review root causes of denials and implement preventive measures.
Process Excellence
Identify automation and process improvement opportunities.
Participate in transition and migration projects, if applicable.
Drive Lean, Six Sigma, and operational excellence initiatives.
Ensure standardization of processes and best practices. Educational
Qualifications
Graduate in any discipline
Preferred: MBA, PGDM, Healthcare Management, or related qualification
Certifications in Healthcare Revenue Cycle Management will be an added advantage
Desired Candidate Profile
712 years of experience in US Healthcare Revenue Cycle Management.
Minimum 35 years of experience in DME Billing operations.
At least 2 years of experience managing large operational teams.
Experience managing teams of 3585+ FTEs.
Strong understanding of DME workflows, payer guidelines, and reimbursement processes.
Excellent communication, leadership, and client management skills. Proven track record of improving operational performance and revenue outcomes. .
