Senior Manager, Revenue Cycle Management

Working Hours: US Hours (as per Pacific Standard Time)

Job Description:

This role will grow along with the organization as we grow our team in India.

Key Responsibilities:

• Process Setup & Optimization: Collaborate directly with the Head of RCM to build the end-to-end revenue cycle. Identify areas for process improvement and implement best practices to maximize revenue capture and minimize denials.
• End to End RCM: Work on complete RCM workflow from claim submission, account receivables to payment posting, independently at first and by leading the team once the team is put together.
• Compliance Management: Ensure compliance with all relevant US healthcare regulations, payer requirements, and internal policies. Stay informed about changes in healthcare laws and payer guidelines affecting the revenue cycle.
• Stakeholder Collaboration: Work closely with clinical, financial, and operational teams to ensure seamless integration of revenue cycle processes with overall business operations. Foster strong relationships with payers, vendors, and regulatory bodies.
• Technology Utilization: Leverage advanced billing software, electronic medical records (EMR) systems, and analytics tools to enhance revenue cycle efficiency and accuracy. Ensure that the entire team is comfortable with the technology available.
• Financial Reporting: Present regular reports to the leadership team on revenue cycle performance, including financial trends, risks, and opportunities.

• Education: Bachelor’s degree in healthcare administration, Finance, Business Management, or a related field. A master’s degree or relevant certification is preferred.
• Experience: Minimum of 6-8 years of experience in revenue cycle management, with at least 3 years as a team lead. Extensive experience in managing the RCM process within the US healthcare system, particularly in behavioral health.
• Skills Required:
• Deep understanding of entire RCM pipeline from benefits verification, charge entry, claim submission, denial management, billing, accounts receivables and payment reconciliation
• Knowledge of coding standards (ICD-10, CPT), and US healthcare regulations.
• Proven track record of improving revenue cycle performance and reducing AR days.
• Excellent communication, negotiation, and interpersonal skills.
• Proficiency in RCM software, EMR systems, and data analytics tools.
• Strategic thinker with strong analytical abilities and problem-solving skills.
• Experience of working with Advanced MD, NextGen and Collaborate MD

Benefits

2070 Health has built and launched multiple healthcare businesses. You will get an opportunity to join an early-stage company changing RCM for outpatient specialties in the US. You will be the first employee in India who will be directly collaborating with our Head of RCM to serve our initial customers as well as build standard operating procedures.