Job Description
Key Responsibilities
- Lead and manage a team handling Personal Injury RCM processes
- Act as Group Leader / Process Coach / Acting Team Lead
- Coordinate with law firms/attorneys for billing, case follow-ups, and settlements
- Handle MedPay processing and related follow-ups
- Oversee payment posting ensuring accuracy and TAT adherence
- Supervise claim submission and ensure high clean claim rate
- Manage reduction requests / lien negotiations with attorneys and payers
- Perform audits to ensure process compliance and quality standards
- Support team with basic coding validation (CPT/ICD knowledge)
- Monitor AR, collections, and team productivity
- Provide training, mentoring, and performance feedback
- Prepare MIS reports and drive process improvements
Required Experience & Skills
- 6+ years of experience in US Healthcare RCM
- Experience in Personal Injury (PI) is mandatory
- Prior experience (1+ years) as:
- Group Leader / Team Lead / Process Coach / Acting TL/Quality auditor
- Strong hands-on experience in:
- MedPay
- Payment Posting
- Claim Submission
- Reduction Requests / Negotiations
- Basic understanding of medical coding (CPT, ICD)
- Strong communication skills (client & team handling)
- Good auditing and analytical abilities
Job Type: Full-time
Pay: ₹40,000.00 - ₹45,000.00 per month
Work Location: Remote
About Zeztrix
Zeztrix
zeztrix.net
Hires remote
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