RCM Operating Manager

We are seeking an experienced Revenue Cycle Management (RCM) Operating Manager to oversee daily operations, optimize processes, and lead a team of professionals responsible for the end-to-end revenue cycle. This role is essential for ensuring efficient, accurate, and compliant billing practices, maximizing revenue capture, and enhancing financial performance. The ideal candidate has a strong background in healthcare RCM, excellent analytical skills, and leadership experience in a fast-paced environment.

Key Responsibilities

• Oversee RCM Operations: Manage all aspects of the revenue cycle, including patient registration, insurance verification, claims submission, payment posting, accounts receivable, and collections.
• Process Improvement: Identify inefficiencies in the RCM process and develop and implement strategic initiatives to streamline workflows and improve key performance indicators (KPIs).
• Compliance and Regulatory Adherence: Ensure compliance with healthcare regulations and payer policies. Keep updated with industry trends, Medicare/Medicaid regulations, and other payer guidelines.
• Team Leadership: Lead, train, and mentor a team of billing, coding, and collections specialists. Foster a culture of accountability, collaboration, and continuous learning.
• Data Analysis and Reporting: Use data to monitor RCM performance, identify trends, and create reports on productivity, collection rates, and other metrics. Present insights and recommendations to senior management.
• Stakeholder Collaboration: Collaborate with clinical, finance, and IT departments to align revenue cycle processes with overall business objectives and improve patient experience.
• Vendor Management: Manage relationships with third-party vendors and ensure that their services meet organizational standards and goals.
• Problem Resolution: Resolve complex billing issues, manage escalated cases, and work with payers to ensure timely payment.

Required Qualifications

• Education: Bachelor’s degree in Healthcare Administration, Business, Finance, or related field (Master’s degree preferred).
• Experience: Minimum of 5 years in healthcare revenue cycle management, with at least 2 years in a supervisory or managerial role.
• Technical Skills: Proficiency with RCM software (e.g., Epic, Cerner, ECW or similar), Microsoft Office, and data analysis tools.
• Knowledge: In-depth knowledge of medical billing codes, claims processing, payer requirements, and healthcare regulations.
• Leadership Skills: Demonstrated ability to lead and motivate teams, drive performance, and manage through change.
• Analytical Skills: Strong problem-solving abilities, with experience in data-driven decision-making.
• Communication: Excellent verbal and written communication skills, with the ability to present complex information to various stakeholders.

Preferred Qualifications

• Industry Knowledge: Familiarity with healthcare policies, including HIPAA, and an understanding of healthcare reform trends and impacts on revenue cycle management.

Job Type: Full-time

Pay: ₹40,000.00 - ₹55,000.00 per month

Schedule:

• Day shift
• US shift

Work Location: In person