Sr Manager-OTC(RCM)
Sr Manager-OTC(RCM)
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Job Description
Ready to shape the future of work
At Genpact we dont just adapt to changewe drive it. AI and digital innovation are redefining industries and were leading the charge. Genpacts AI Gigafactory our industry-first accelerator is an example of how were scaling advanced technology solutions to help global enterprises work smarter grow faster and transform at scale. From large-scale models to agentic AI our breakthrough solutions tackle companies most complex challenges.
If you thrive in a fast-moving tech-driven environment love solving real-world problems and want to be part of a team thats shaping the future this is your moment.
Genpact (NYSE: G) is anadvanced technology services and solutions company that deliverslastingvalue for leading ourdeep business knowledge operational excellence and cutting-edge solutions we help companies across industries get ahead and stay by curiosity courage and innovationour teamsimplementdata technology and AItocreate tomorrow to know us onLinkedInXYouTube andFacebook.
Inviting applications for the role of Senior Manager Medical RCM (Revenue Cycle Management!
We are seeking a dedicated and detail-oriented Medical Billing and collections Specialist with some years of experience in the US healthcare billing and collections process. This role is ideal for a professional who understands end-to-end billing functions and is passionate about accuracy compliance timely submission of claims and resolution of denials and appeals. If youre a strong communicator analytical thinker and growth-driven individual this is the opportunity for you.
Responsibilities
Oversee the planning organization direction and implementation of all claims management processes and controls to ensure the accuracy and timeliness of claim submissions collections efforts and payment distribution in compliance with contractual state and federal regulations
Stay updated on insurance industry regulations policies and coding standards ensuring compliance and implementing necessary changes
Ensures efficient accounts receivable management. Use routine monitoring reports such as claim submission rates denial rates and reimbursement trends to oversee the revenue cycle operational functions.
Identify and address areas of improvement to maximize reimbursement and minimize billing errors. Collaborate with insurance companies B2B clients and third-party payers to address claims inquiries appeals and payment discrepancies.
Monitors work queues responsible for and develops remediation plans for any backlogs that could occur operationally
Supervise patient billing and collections staff on a daily basis including hiring monitoring productivity standards and departmental training
Formulate appropriate professional targets for each of the team members. Ensure collection goals for the department are met.
Attend participate and lead at required meetings and work groups.
Foster positive working relationships with internal and external stakeholders promoting effective communication and collaboration
Provide leadership. Serve as a role model and share resources.
Actively participate in department projects and improvement initiatives
Interface with upper management including Director VP and Sr. VP in Operations
Qualifications we seek in you!
Minimum Qualifications / Skills
Must have or degree
Preferred Qualifications/ Skills
Experience in US healthcare billing and collections.
Experience in handling a team of 50 agents /$ 500 M in accounts receivable
Experience in CMS billing and Account Receivable management.
Experience in multiple EMR/EHR work queue management within RCM
Adaptable open to change and able to work in ambiguous situations and respond to new information and unexpected circumstances.
Strong billing requirements knowledge with a detailed understanding of how to strategize accounts receivable and optimize operations
Experience working with third-party collection agencies
Self-motivated and strong leadership to challenge the status quo
Strong Customer Focus and ability to get results.
Demonstrated process improvement skills.
Ability to make business decisions under uncertainty
Familiar with commercial and government payers (Medicare Medicaid etc.)
Experience in billing and collections associated with skill nursing post surgical care and home health specialties will be Preferred
Strong communication skills verbal and written.
High attention to detail and analytical thinking.
Proficient in billing platforms such as Kareo AdvancedMD Athena or similar systems.
Work Environment
o Operate within a structured framework but is you are expected to be proactive and analytically independent in your own area of responsibility
Employment Type: Full-Time
Shift: US Shift/Night Shift EST/EDT hours
Why join Genpact
Be a transformation leader Work at the cutting edge of AI automation and digital innovation
Make an impact Drive change for global enterprises and solve business challenges that matter
Accelerate your career Get hands-on experience mentorship and continuous learning opportunities
Work with the best Join 140000 bold thinkers and problem-solvers who push boundaries every day
Thrive in a values-driven culture Our courage curiosity and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress
Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up.
Lets build tomorrow together.
Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race color religion or belief sex age national origin citizenship status marital status military/veteran status genetic information sexual orientation gender identity physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity customer focus and innovation.
Furthermore please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a starter kit paying to apply or purchasing equipment or training.
Required Experience:
Manager
Employment Type
Full-Time
