We are looking for an experienced and result-oriented RCM Operations Manager to lead and manage end-to-end Medical Billing and Revenue Cycle Management (RCM) operations.
Key Responsibilities
- Manage complete Revenue Cycle Management (RCM) operations, including Front-end, Mid-cycle, and Back-end processes.
- Lead Medical Billing functions such as Patient Registration, Insurance Verification, Prior Authorization, Charge Entry, Medical Coding coordination, Payment Posting, AR Follow-up, Denial Management, Appeals, and Accounts Receivable (AR) Recovery.
- Drive productivity, quality, SLA adherence, and client KPIs.
- Develop operational strategies to improve collections, reduce aging, minimize denials, and maximize reimbursements.
- Monitor and analyze operational dashboards, billing reports, revenue trends, and financial metrics.
- Ensure compliance with HIPAA, CMS guidelines, payer regulations, and healthcare industry standards.
- Responsible for client onboardings, manage client relationships, conduct business reviews, and ensure high customer satisfaction.
- Lead, mentor, coach, and develop Team Leads and Operations teams.
- Conduct performance reviews, succession planning, and employee engagement initiatives.
- Identify process improvement opportunities using Lean, Six Sigma, RCA (Root Cause Analysis), CAPA, and Continuous Improvement methodologies.
- Collaborate with Coding, Quality, Training, IT, and Client Management teams.
- Handle escalations, audit findings, compliance issues, and operational risks effectively.
- Drive automation initiatives, workflow optimization, and digital transformation projects.
- Prepare MIS reports, operational reviews, forecasting, capacity planning, and resource allocation.
Preferred Qualifications
- 8–12 years of experience in US Healthcare Medical Billing/RCM, with at least 3–5 years in an Operations Manager/ Assistant Manager role.
- Experience managing teams of 75–300+ employees.
- Strong exposure to physician billing, hospital billing, or multi-specialty billing.
- Hands-on experience with major Practice Management (PM) systems and Electronic Health Records (EHR/EMR). Experience in working on Advanced MD.
- Ability to manage multiple clients and high-volume operations.
Interested candidates can apply here/ Share your updated resume with [email protected]/ connect using the no. 6364915511
Pay: ₹50,000.00 - ₹120,000.00 per month
Benefits:
Work Location: In person
