Director of RCM

Location:

Reports To:

Team Oversight:

Role Overview

The Director of RCM will provide strategic leadership and operational oversight for our offshore billing operations, ensuring end-to-end revenue cycle performance for U.S. healthcare provider clients. This leader will be responsible for building robust processes, maintaining payer compliance, driving collections, minimizing denials, and mentoring offshore teams to deliver world-class results.

Key Responsibilities

Strategic Leadership

• Define and execute the vision for RCM operations in alignment with company growth and client expectations.
• Develop policies, SOPs, and workflows that optimize revenue cycle performance across specialties (Orthopedics, Physical Therapy, Dermatology, Behavioral Health, Rheumatology, etc.).
• Partner with U.S. leadership to ensure client needs, compliance standards, and performance goals are consistently met.

Operational Management

• Oversee the daily operations of the billing team in India, including charge entry, payment posting, AR calling, denial management, credentialing, and reporting.
• Implement audit and QA frameworks to monitor accuracy, timeliness, and compliance.
• Standardize reporting cadence: daily, weekly, and monthly dashboards for AR, denials, collections, and payer trends.
• Ensure smooth onboarding of new clients and practices into billing workflows.

People Leadership

• Manage and mentor offshore managers, team leads, and billers to ensure accountability and career growth.
• Build a performance-driven culture with clear KPIs, evaluation frameworks, and feedback mechanisms.
• Drive recruitment, training, and upskilling initiatives to maintain high-quality output.

Client & Stakeholder Engagement

• Act as a bridge between U.S. leadership and offshore teams to ensure clear communication and alignment.
• Participate in client calls, providing updates on revenue performance, denial trends, and improvement initiatives.
• Proactively identify client risks and recommend process improvements.

Compliance & Process Improvement

• Ensure adherence to U.S. healthcare billing regulations, HIPAA compliance, and payer-specific requirements.
• Monitor payer changes, industry trends, and regulatory updates to update internal SOPs.
• Leverage technology and automation tools (e.g., practice management systems, RPA, reporting dashboards) to drive efficiency.

Qualifications

• Bachelor's degree required; Master's in Business, Healthcare Administration, or related field preferred.
• Minimum

  8+ years of U.S. healthcare RCM experience

  , with at least

  5 years in leadership roles

  overseeing offshore teams.
• Deep knowledge of the end-to-end RCM cycle (charge capture, claim submission, payment posting, AR follow-up, denial management, credentialing, patient collections).
• Proven experience managing teams of

  30+ billers

  in India, Pakistan, or the Philippines.
• Strong understanding of U.S. payers, EHR/PM systems (e.g., Athena, eClinicalWorks, AdvancedMD, Kareo, Epic, DrChrono, Experity), and compliance frameworks (HIPAA, CMS).
• Excellent communication, leadership, and analytical skills.

Key Skills

• Strategic thinking and operational execution
• Strong analytical/reporting abilities (Excel, Power BI, or similar tools)
• Team leadership across multiple geographies
• Client management and presentation skills
• Problem-solving and process optimization

Performance Metrics (KPIs)

• AR Days:

  Maintain < 35 days

• Clean Claim Rate:

  > 95%

• Denial Rate:

  < 5%

• Collection Rate:

  > 95% of net collectible revenue

• Productivity:

  Calls/claims processed per FTE per day

• Team Performance:

  Adherence to SLAs and quality scores