RCM Job Vacancies in Vellore

  • 5 - 8 yrs
  • Vellore
RCM Medical Billing Coding Charges Payment Prior Authorization
Team Leadership: Supervise and mentor a team of medical billing professionals. Provide training, performance feedback, and support to ensure high standards of billing accuracy and efficiency.Billing Operations: Oversee the daily operations of the medical billing department, including claim generation, submission, follow-up, and payment posting. Ensure timely and accurate processing of all billing activities.Process Improvement: Identify and implement improvements to billing processes to enhance efficiency and accuracy. Develop and enforce best practices to streamline billing operations.Compliance & Risk Management: Ensure all billing practices comply with healthcare regulations, payer requirements, and internal policies. Conduct regular audits and address any compliance issues.Cross-Departmental Coordination: Collaborate with all departments to resolve billing issues and ensure accurate claim submissions.Performance Monitoring: Track and analyze key performance indicators (KPIs) related to billing operations. Prepare and present reports to management, highlighting performance metrics, trends, and areas for improvement.Problem Resolution: Address and resolve complex billing issues, including claim denials, appeals, and discrepancies. Implement corrective actions to prevent recurrence of issues.Customer Service: Ensure high levels of customer service by addressing patient and payer inquiries, resolving billing-related concerns, and maintaining positive relationships with external stakeholders.Desired Candidate Profile:Bachelors degree in Healthcare Administration, Finance, Business Administration, or a related field.Certification in medical billing or coding (e.g., CPC, CCS) is preferred.Minimum of 6+ years of experience in medical billing, with at least 2 years in a supervisory or managerial role.Strong knowledge of medical billing processes, healthcare regulations, and payer requirements.Proven leadership and team management skills.Excellent analytica
View all details
  • 9 - 14 yrs
  • Vellore
RCM Medical Billing Coding AR Anlayst Payment Charges Authorization
Position Overview: The COO will be a key member of the senior management team, responsible for overseeing diverse business operations. This role requires an experienced leader with exceptional business acumen and the ability to manage and optimize coding, billing, and collections processes.Key Responsibilities:Operational Management:Oversee RCM Operations: Manage day-to-day operations of the RCM division, ensuring efficiency and compliance.Monitor KPIs: Assess the effectiveness of RCM processes through key performance indicators.Ensure Accuracy: Oversee timely and accurate billing, coding, collections, and reimbursements.Process Improvement:Identify Improvements: Determine areas for process enhancement and implement best practices.Utilize Technology: Enhance operational efficiency through technology and automation.Improve Patient Experience: Lead initiatives to enhance the patient billing experience.Financial Oversight:Manage Budget: Develop and oversee the RCM budget to meet financial goals.Analyze Data: Review financial data to identify trends and opportunities for cost reduction.Ensure Reporting Accuracy: Collaborate with the finance team for accurate financial reporting and forecasting.
View all details