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Prochant - Senior Manager - Revenue Cycle Management (12-15 yrs)

12-15 years

Prochant - Senior Manager - Revenue Cycle Management (12-15 yrs)

Prochant

posted 1mon ago

Job Role Insights

Fixed timing

Job Description

- The Senior Manager of Revenue Cycle Management (RCM) will be responsible for the overall performance and strategic direction of the revenue cycle for our clients.

- This role requires a highly experienced and results-oriented individual with a deep understanding of healthcare reimbursement, coding, denials management, and team leadership.

- The Senior Manager will lead a team of RCM professionals and will be accountable for optimizing the revenue cycle, improving key performance indicators, and ensuring compliance with all relevant regulations.

Responsibilities:

Leadership & Team Management:

- Lead, mentor, and develop a high-performing RCM team.

- Set clear performance expectations and provide regular feedback and coaching.

- Foster a positive and collaborative team environment.

- Conduct performance reviews and identify training needs.

- Effectively delegate tasks and responsibilities.

Revenue Cycle Management Oversight:

- Oversee all aspects of the revenue cycle, including billing, coding, claims submission, payment posting, denial management, and collections.

- Develop and implement strategies to optimize the revenue cycle and improve key performance indicators (KPIs) such as days sales outstanding (DSO), clean claim rate, and denial rate.

- Monitor and analyze RCM performance metrics and identify areas for improvement.

- Implement best practices for revenue cycle management.

- Ensure compliance with all applicable regulations and payer requirements.

Denials Management:

- Develop and implement a robust denials management program.

- Analyze denial trends and identify root causes.

- Implement corrective actions to prevent future denials.

- Oversee the appeals process for denied claims.

Medical Coding:

- Oversee the medical coding process to ensure accuracy and compliance.

- Stay up-to-date on coding guidelines and regulations.

- Collaborate with coding staff to resolve coding issues.

Managed Care:

- Manage relationships with managed care organizations.

- Negotiate contracts and reimbursement rates.

- Monitor payer performance and identify trends.

Practice Management:

- Collaborate with practice management teams to ensure seamless integration of RCM processes.

- Identify opportunities to improve efficiency and effectiveness of practice operations.

Reporting & Analysis:

- Prepare and present regular reports on RCM performance to senior management.

- Analyze data to identify trends and opportunities for improvement.

- Develop and implement action plans to address identified issues.

Process Improvement:

- Continuously evaluate and improve RCM processes.

- Identify and implement automation opportunities.

- Stay up-to-date on industry best practices and emerging technologies.

Qualifications:

- Bachelor's/ master's degree in Healthcare Administration, Business Administration, or a related field.

- Minimum of 12+ years of experience in medical billing, collections, and business process outsourcing within the healthcare industry.

- Minimum of 5 years of experience in a leadership or management role overseeing RCM operations.

- Proven track record of success in optimizing revenue cycle performance.


Functional Areas: Other

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Prepare for Senior Manager roles with real interview advice

Top Prochant Senior Manager Interview Questions

Q1. Do you have any technical certifications? How many programming languages do you know? What are the different types of OS you are comfortable ... read more
Q2. EXPLAIN RCM CYCLE - RCM process
Q3. How many programming languages do you know?
View all 12 questions

What people at Prochant are saying

4.0
 Rating based on 1 Senior Manager review

Likes

Culture, Value skills rather years of experiences.

  • Salary - Good
  • +5 more
Dislikes

More Complex work, need high level skill sets to survive.

Read 1 Senior Manager review

Senior Manager salary at Prochant

reported by 2 employees with 1-10 years exp.
₹8.6 L/yr - ₹11 L/yr
54% less than the average Senior Manager Salary in India
View more details

What Prochant employees are saying about work life

based on 430 employees
57%
95%
53%
62%
Strict timing
Monday to Friday
No travel
Night Shift
View more insights

Prochant Benefits

Submitted by Company
Hybrid Working Model
Team Outings & Recreational Activities
Free Dinner
Quarterly Rewards & Recognition
Job/ Skill Training Programme
Maternity Leaves +8 more
Submitted by Employees
Cafeteria
Work From Home
Free Food
Job Training
Health Insurance
Team Outings +6 more
View more benefits

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Prochant Chennai Office Locations

View all
Chennai, Tamil Nadu Office
CHENNAI UNIT - 1, DLF IT Park, Block 3 Ground Floor, 1/124 Mount Poonamallee Road, Nandambakkam Post, Chennai – 600089 Chennai, Tamil Nadu
600089
Chennai, Tamil Nadu Office
CHENNAI UNIT - 3 DLF IT Park, Block 1C 4th Floor ,1/124, Mount Poonamallee Road, Shivaji Gardens, Manapakkam, Chennai – 600089 Chennai, Tamil Nadu
600088

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