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Job Description
Role & responsibilities
- Lead and manage a team of 25-30 DME Billing professionals.
- Monitor daily billing operations, claims processing, payment posting, AR follow-up, and denial management activities.
- Ensure achievement of productivity, quality, accuracy, and SLA targets.
- Drive collections and revenue realization through effective claim management and AR recovery.
- Analyze operational reports, dashboards, and productivity metrics.
- Conduct regular team huddles, one-on-one sessions, and performance reviews.
- Coach, mentor, and develop team members to improve productivity and quality.
- Manage staffing, attendance, scheduling, and workforce allocation.
- Ensure compliance with Medicare, Medicaid, HIPAA, and payer-specific billing guidelines.
- Conduct quality audits and implement corrective action plans.
- Support client reporting, operational reviews, and escalation management.
- Collaborate with Quality, Training, HR, and MIS teams to achieve business objectives.
- Identify process improvement opportunities and drive operational excellence initiatives.
- Support automation and workflow optimization projects.
Preferred candidate profile
- 7-10 years of experience in US Healthcare Revenue Cycle Management (RCM).
- Minimum 5 years of experience as a Team Lead / Assistant Team Lead / SME handling teams.
- Experience managing teams of 25+ FTEs.
- Strong understanding of:
- DME Billing
- Accounts Receivable (AR)
- Denial Management
- Payment Posting
- Claims Processing
- Medicare & Medicaid Billing
- Commercial Insurance Billing
- Revenue Cycle Management
- Excellent communication and stakeholder management skills.
- Strong analytical and problem-solving abilities.
- Ability to work in a fast-paced, performance-driven environment.
Educational Qualification
UG: Any Graduate
Preferred:
- MBA
- Healthcare Management Certification
- Healthcare RCM Certification
Interested candidate can apply on meenu.5728@knackrcm.com
Skills
ProcessingRevenueMedical BillingClaims ProcessingLeadershipDmeUS HealthcareSeniorOperationsPayment PostingWorkflow OptimizationIf a job posting appears fraudulent, asks for payment, contains misleading information, or violates our guidelines, please report it immediately. Our team will review it promptly, Jobaaj does not charge any fee from the applicants.
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