Role & responsibilities

- Manage and oversee all revenue cycle operations, including patient registration, insurance verification, medical coding, billing, claims processing, collections, and payment reconciliation.
- Ensure accurate and timely submission of insurance and patient claims.
- Monitor accounts receivable (AR) and reduce outstanding balances through effective follow-up.
- Lead denial management activities by identifying root causes and implementing corrective actions.
- Improve clean claim rates and reduce claim rejections.
- Coordinate with clinical, finance, coding, and insurance teams to resolve billing issues.
- Develop and implement revenue cycle policies, procedures, and best practices.
- Monitor key performance indicators (KPIs) such as Days in AR, Collection Ratio, Claim Acceptance Rate, Denial Rate, and Cash Collections.
- Ensure compliance with hospital policies, payer requirements, and applicable healthcare regulations.
- Conduct regular audits of billing, coding, and reimbursement processes.




- Prepare monthly revenue cycle reports and present performance metrics to senior management.
- Manage relationships with insurance companies, TPAs, government health schemes, and other payers.
- Train, mentor, and evaluate the performance of the RCM team.
- Identify opportunities for automation and process improvement to increase operational efficiency.
- Support budgeting, forecasting, and financial planning related to revenue cycle operations.

Preferred candidate profile

- Solid knowledge of hospital billing, medical coding (ICD-10, CPT, HCPCS), and insurance claim processes.
- Knowledge of government and private insurance reimbursement policies.
- Excellent analytical and financial reporting skills.
- Strong leadership and team management abilities.
- Excellent communication, negotiation, and interpersonal skills.
- Advanced proficiency in Microsoft Excel and healthcare management systems.
- Ability to manage multiple priorities and meet deadlines

📌 Revenue Cycle Manager (Tirupati)
🏢 Aster DM Healthcare
📍 Tirupati