20 Aug
|
ClinicMind
|
Jaipur
Role Summary
We are seeking a seasoned, highly organized Senior Revenue Cycle Specialist to join our SWAT / Level 3 (L-3) support team — the most senior tier of our revenue cycle operation. This team owns the resolution of complex, escalated billing issues across the entire client base, including accounts served by both our internal billing teams and our outsourcing (BPO) partners. The right person is a true problem-solver: someone who can take a tangled, high-stakes claims or setup issue, perform a disciplined root cause analysis, drive it to resolution across multiple teams, and document a repeatable fix so it does not happen again.
Key Responsibilities
Escalation Management & Root Cause Analysis
- Serve as a senior point of resolution for escalated, complex, and high-dollar billing issues routed from internal billing teams, BPO partners, support/help desk, retention, and client-facing staff.- Identify and capture all affected claims and accounts when a systemic issue is found, and drive corrective action end-to-end through to verified resolution.
- Document findings clearly and present recommendations and corrective-action plans to team leads and leadership.
Cross-Functional Coordination & Communication
- Partner daily with multiple teams — internal billing, BPO partners, Enrollment, Credentialing, Portals, QA, Data Entry, Onboarding, and Retention — to resolve issues that span team boundaries.
- Own and manage hand-offs between functions (for example, credentialing-completion to enrollment-initiation to system updates), ensuring tasks are routed, tracked, and closed correctly.
- Communicate status, blockers, and resolutions proactively and professionally so that no issue becomes invisible work.
Account Setup, Configuration & Workflow Execution
- Execute and verify account setup and configuration changes, including recent-client billing setup, in-house (IH) and full-service (FS) conversions, service-facility and demographic updates, and payer/plan additions.
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📌 Senior Revenue Cycle Specialist (Jaipur)
🏢 ClinicMind
📍 Jaipur