05 Oct
|
Knack RCM
|
India
TITLE: Senior Manager – DME Billing Operations
Location: Mohali
Experience: 10–15 Years
POSITION SUMMARY
We are seeking an experienced and results-driven Senior Manager – DME Billing Operations to lead and manage end-to-end Durable Medical Equipment (DME) Revenue Cycle Operations. The role is responsible for driving operational excellence, maximizing collections, improving AR performance, ensuring client satisfaction, and developing high-performing teams.
The ideal candidate will possess solid expertise in DME Billing, Accounts Receivable Management, Denial Management, Medicare/Medicaid Guidelines, Commercial Payer Processes, Client Management, and Team Leadership.
The incumbent will play a critical role in driving operational efficiency, revenue optimization, process improvements, and organizational growth.
KEY RESPONSIBILITIES
Operations Management
• Lead end-to-end DME Billing operations, including Billing, AR Follow-up, Denial Management, Appeals, and Payment Posting.
• Drive productivity, quality, accuracy, and financial performance across DME operations.
• Monitor operational KPIs and implement action plans to achieve client and organizational goals.
• Ensure timely claim submission and effective AR management to maximize collections.
• Analyze operational trends and identify opportunities for process improvement and revenue enhancement.
• Drive operational governance through regular reviews, performance dashboards, and reporting mechanisms.
Accounts Receivable & Revenue Cycle Management
• Oversee DME AR portfolios across Medicare, Medicaid, and Commercial Payers.
• Monitor AR aging and drive initiatives to improve collections and reduce outstanding receivables.
• Lead denial management and appeals processes to optimize recoveries.
• Track and manage key AR metrics including:
o AR Aging
o Collection Effectiveness
o Days in AR
o Denial Rate
o Recovery Rate
o Productivity Metrics
o Net Collection Ratio
• Conduct root cause analysis on denials and implement p
📌 Senior Manager (India)
🏢 Knack RCM
📍 India