RCM Operations Leader

Job Title: Operations Leader End-to-End RCM

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Location:

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About HRCS Services

Revenue Cycle Management (RCM)

Operations Leader

Role Overview

Operations Leader – End-to-End RCM

This individual will be responsible for people management, performance metrics, client coordination, process improvement, and ensuring alignment with organizational goals

Key Responsibilities

1. End-to-End RCM Management

Patient Access, Coding, Charge Entry, Payment Posting, AR Follow-up, Denial Management, and Reporting.

• Ensure each process meets client KPIs, SLAs, and quality benchmarks.

• Drive root cause analysis for denials, rework, and revenue leakage, and lead initiatives for resolution.

2. Operations Leadership & Team Management

• Lead and manage teams across multiple RCM verticals and locations (75+ FTEs).

• Mentor and develop team leads and managers to ensure operational consistency and employee engagement.

• Foster a culture of accountability, collaboration, and continuous improvement.

3. Client & Stakeholder Management

• Act as the primary point of contact for operations, performance updates, and process escalations.

• Conduct weekly and monthly business reviews with internal leadership.

• Translate client expectations into actionable operational strategies.

4. Performance & Quality Governance

• Define and monitor key performance indicators (KPIs) for productivity, quality, TAT, and cash flow.

• Conduct operational audits to identify gaps and drive corrective action.

HIPAA

5. Financial Oversight & Reporting

• Drive revenue realization through accurate billing and timely collections.

• Collaborate with finance and compliance teams for reconciliations, variance analysis, and process controls.

• Prepare dashboards and MIS reports on operational performance, P&L insights, and client outcomes.

6. Process Excellence & Transformation

• Identify automation and technology opportunities to optimize workflows.

• Lead standardization initiatives across client accounts to improve scalability and efficiency.

• Implement lean methodologies and continuous improvement frameworks.

Qualifications & Experience

• Bachelor’s degree or higher in Business Administration, Healthcare Management, or related field (MBA preferred).

10–15 years of progressive experience

provider-based RCM workflows

Payer regulations, AR cycle analytics, denial trends, and compliance controls.

multi-client portfolios

Epic, Athena, eClinicalWorks, NextGen, or Kareo.

Key Skills & Competencies

• Strategic leadership with hands-on operational understanding.

• Strong analytical and problem-solving capabilities.

• Excellent client communication and relationship management.

• Deep knowledge of RCM metrics, reporting, and dashboards.

• Proficiency in process transition, stabilization, and scaling.

• Ability to manage large teams with focus on performance and compliance.