Senior Medical Biller / Revenue Cycle Manager

Job Summary:

Workflow Hub is seeking an experienced and driven Senior Medical Biller / Revenue Cycle Manager to lead a high-performing front and back office medical billing team of 20+ professionals. This remote, offshore position supports a multi-specialty medical practice based in Manhattan, United States, with specialties in Primary Care, Cardiology, Neurology, Preventive Care, and Women’s Health. The ideal candidate will take charge of end-to-end revenue cycle management, optimize operational performance, and drive excellence in communication across payers, patients, and internal teams.

Key Responsibilities:

Revenue Cycle & Medical Billing Management:

• Oversee all aspects of medical billing operations for front and back-office teams.
• Ensure timely and accurate claims submission, follow-ups, and payment postings.
• Reduce billing delays and high denial rates through process optimization.
• Enhance reimbursement rates while minimizing aging AR.

Team Leadership & Workflow Optimization:

• Manage and mentor a team of 20+ billing specialists across front and back-office functions.
• Coordinate with scheduling, patient intake, and clinical documentation teams to ensure billing readiness.
• Develop SOPs and implement best practices for billing and communication workflows.

Patient and Payer Communications:

• Lead strategies to improve payer negotiations and reduce denials.
• Oversee patient communication touchpoints to minimize appointment cancellations and no-shows.
• Ensure high responsiveness to billing inquiries from patients and payers alike.

Compliance & Auditing:

• Ensure compliance with U.S. healthcare regulations including HIPAA, CMS, and private payer policies.
• Perform regular audits of coding and claims for accuracy and compliance.

Data Analysis & Performance Monitoring:

• Analyze billing data and revenue trends to provide strategic recommendations.
• Develop and track KPIs to improve AR, denials, reimbursement rates, and appointment follow-through.
• Present monthly performance dashboards to stakeholders.

Key Challenges to Address:

• High claim denial rate
• Billing delays
• Low payer reimbursements
• Managing both front and back-office billing functions
• High appointment cancellations and patient no-shows
• Poor payer and patient communication

Performance Expectations (KPIs):

• Reduction in claim denials
• Improved AR performance and faster reimbursements
• Stronger payer and patient communications
• Operational recommendations to improve revenue cycle workflows
• Reduction in appointment cancellations and no-shows

Qualifications:

• Bachelor’s degree in Healthcare Administration, Health Information Management, Finance, or related field
• Minimum 5 years of medical billing and revenue cycle management experience
• Deep understanding of ICD-10, CPT, HCPCS codes, and payer rules
• Proficiency in EHR and medical billing software (e.g., AdvancedMD, Kareo, Athenahealth, etc.)
• Strong leadership, communication, and analytical skills
• Certifications such as CPC, CPB, or CMRS are a plus

Benefits:

• Provident Fund
• Yearly Bonus
• Family Health Insurance
• Conveyance Allowance
• Internet Allowance
• Leave Encashment
• Employee Referral Bonus

Job Type: Full-time

Pay: From Rs100,000.00 per month

Experience:

• RCM: 5 years (Preferred)

Language:

• English (Required)

Work Location: In person