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Manager RCM Noida - 2 Openings @ R Systems

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 Manager RCM Noida - 2 Openings

Job Description


Looking for an experienced End-to-End RCM Manager (US Healthcare) skilled in Credentialing, Payment Posting, Charge Entry, Authorization, Eligibility Verification, Medical Billing, and knowledge of Adaptive Behavior Assessment. Responsible for managing the entire revenue cycle, ensuring compliance, optimizing revenue flow, and leading the RCM team effectively.


Roles & Responsibilities

  • Revenue Cycle Management: Manage and optimize the entire RCM process.
  • Credentialing: Oversee provider credentialing, revalidations, and insurance enrollments.
  • Payment Posting & Charge Entry: Ensure accurate and timely payment postings and charge entries.
  • Authorization & Eligibility Verification: Manage insurance eligibility checks and authorization processes.
  • Medical Billing & Claims: Supervise billing, reduce denials, and enhance collections.
  • Adaptive Behavior Assessment: Knowledge of ABAS or similar tools; ensure proper documentation and billing.
  • Team Leadership: Train, mentor, and enhance team productivity.
  • Reporting & Analysis: Generate reports, analyze data, and improve revenue generation.
  • Client & Stakeholder Communication: Address queries, resolve issues, and provide updates.
  • Continuous Improvement: Stay updated with industry changes and implement process improvements.

Please share CV at an*******a@rs*****s.com

Job Classification

Industry: BPM / BPO
Functional Area / Department: Customer Success, Service & Operations
Role Category: Operations
Role: Operations Manager
Employement Type: Full time

Contact Details:

Company: R Systems
Location(s): Noida, Gurugram

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Keyskills:   Credentialing Eligibility Verification AR Calling Medical Billing Authorization HIPAA Charge Entry US Healthcare Payment Posting

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R Systems

Hanker Systems Inc. offers its clientele complete IT personnel solutions. We specialise in assisting companies set up excellent workplace solutions for their unique requirements. All sectors are becoming more technologically savvy; thus, it is our specialty to match the appropriate IT personnel to t...