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.
Robust 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 (India)
🏢 Aster DM Healthcare
📍 India