Medical Billing Revenue Cycle Manager

Revenue Cycle Management Manager — U.S. Ophthalmology Practice **Company:** Bespoke Ophthalmics **Position:** Revenue Cycle Management (RCM) Manager **Location:** Remote — India **Employment:** Full\-time **Schedule:** Monday–Friday, 10:00 a.m.–6:00 p.m. U.S. Eastern Time **Shift:** Night shift in India **Paid time off:** Three weeks annually About Bespoke Ophthalmics Bespoke Ophthalmics is seeking an experienced RCM Manager to assume hands\-on responsibility for our complete revenue cycle. This is a direct position with Bespoke Ophthalmics—not a multi\-client billing\-company or call\-center role. **Position Summary** The RCM Manager will manage all billing activities for a 1 doctor ophthalmology practice seeing \<100 patients/week (3 full clinic days, 1 surgery day, 1 admin day). This role has pre\-existing staff support as detailed below: \- A general operations team is available FT to help with lower skill tasks such as eligibility \& benefits verification, filing prior authorizations, and Charge Posting. \- A chartered accountant is available FT to help with financial audits, f/u on problem claims, and general accounting tasks and report analysis. \- A Practice Administrator is available FT to address any high level strategic or policy related enquiries. \- An IT dept is available to address any IT related concerns. \- Consultant Training from Nextech on EMR/PM software use is accessible as needed. The manager will retain full personal responsibility for these roles: 1\. Training, supervising, and remaining accountable for the activities of the general operations team (which is comprised of educated workers who are not professional billers). 2\. Taking full ownership of end to end RCM management. 3\. Routinely meeting with practice leadership to reviewing billing performance and milestones. 4\. Taking moral ownership of the billing functionality of the practice. This includes for example, cleaning up old AR, finding and re\-billing denied claims or contesting denied CPTs, highlighting quality improvement issues with note composition by the doctor, and keeping abreast of updates and improvement to Nextech billing software as they become available. This is a hands\-on working\-manager position. The successful candidate must be capable of independently reviewing claims, correcting billing and coding errors, resolving clearinghouse rejections, working complex denials, preparing appeals, identifying underpayments, and completing necessary follow\-up without depending on another employee. Essential Responsibilities Team Leadership and Accountability * Ensure every claim, denial, authorization, patient balance, and A/R account has a clearly assigned owner and next\-action date. * Cross\-train team members and ensure adequate operational coverage. * Create a culture of accountability, accuracy, and timely follow\-through. Hands\-On Revenue\-Cycle Management The RCM Manager will complete or oversee all aspects of the