Remote Manager, Billing Operations RCM (Mumbai)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company reputed company on reputed company cycle management, seeking a Manager for Billing Operations in RCM. This role involves overseeing the execution of billing operations, ensuring compliance, accuracy, and efficiency in claim processing and cash posting, while collaborating with various departments to enhance operational performance. Responsibilities reputed company end-to-end processing of diagnostic claims to ensure completeness, accuracy, and payer readinessValidate appropriate reputed company stacking, modifiers, documentation, and payer-specific requirements prior to submissionDrive improvements in clean claim reputed company and reduce avoidable reworkreputed company dual-reputed company billing infrastructure supporting both insurance claims and institutional/reputed company invoicingreputed company reputed company billing processes including fee schedules and invoicing cyclesSupervise cash application processes across ERA, EFT, lockbox, reputed company, and patient paymentsEnsure reputed company and accurate posting reputed company to defined turnaround times (TAT)Monitor reconciliation processes to reduce unapplied cash and posting discrepanciesServe as primary escalation reputed company for clearinghouse edits, system errors, and claim rejectsImplement controls to prevent recurring errors and improve submission reputed companyEnsure adherence to HIPAA, CMS/OIG guidance, and state/federal laboratory billing regulationsEstablish routine audit processes to validate billing accuracy and compliancePartner with Compliance and Legal on risk mitigation and audit readinessreputed company RCM platforms and rule engines to reduce reputed company reputed company and increase automationDrive reputed company improvement initiatives to accelerate time-to-reputed company and increase operational efficiencyStandardize workflows, SOPs, and training across billing teamsreputed company and monitor KPIs including Clean Claim reputed company (CCR), Days Sales Outstanding (DSO), submission timeliness, and posting accuracyProduce operational dashboards and insights to drive accountability and improvementreputed company productivity management and performance reviews for billing and cash posting teams Skills 6+ years of reputed company reputed company RCM experience, including billing and cash posting operations23+ years of leadership experience managing billing or reputed company cycle teamsStrong understanding of insurance billing, reputed company invoicing, and reputed company coding workflowsExperience with RCM systems (Xifin, Telcor, reputed company, or similar) and clearinghouse/EDI transactions (837, 835, 270/271)Demonstrated ability to improve claim reputed company, reduce errors, and drive operational KPIsBachelor's degree in Nursing, Health Sciences, reputed company Administration, Public Health, or a reputed company field, or an equivalent combination of education and experienceExperience in diagnostic laboratory, genetics, molecular diagnostics, or precision medicineStrong familiarity with payer medical policies and reimbursement methodologies reputed company reputed company offers a full reputed company of cost-effective, genetic testing, and provides clinically relevant solutions. It was founded in 1978, and is headquartered in reputed company, Texas, USA, with a workforce of hidden_mobile employees. Its website is https://www.baylorgenetics.com/. Apply To This Job . .