Revenue Cycle Consultant

As a Revenue Cycle Management (RCM) Manager at Nuvae, your role will involve overseeing end-to-end RCM operations for U.S. hospital clients. This includes ensuring accuracy and efficiency in eligibility checks, prior authorization, claims submission, and denial management. You will collaborate closely with the product and engineering teams to provide domain insights that enhance automation and AI-driven workflows. It will be your responsibility to establish and monitor KPIs to ensure compliance, accuracy, and performance in RCM processes. Additionally, you will play a key role in training and mentoring team members to build a strong RCM operational capability. You will also engage with clients to address escalations, resolve issues, and enhance process outcomes. **Key Responsibilities:** - Oversee end-to-end RCM operations for U.S. hospital clients. - Ensure accuracy and efficiency in eligibility checks, prior authorization, claims submission, and denial management. - Work closely with the product and engineering teams to enhance automation and AI-driven workflows. - Establish and monitor KPIs for compliance, accuracy, and performance in RCM processes. - Train and mentor team members to strengthen RCM operational capability. - Collaborate with clients to address escalations, resolve issues, and improve process outcomes. **Requirements:** - 5+ years of proven experience in U.S. healthcare revenue cycle management. - Strong understanding of hospital RCM processes, particularly eligibility, pre-authorization, and claims. - Experience working with or supporting technology/engineering teams. - Excellent communication and client management skills. - Ability to work independently in a startup environment and adapt to evolving priorities. If you join Nuvae, you will have the opportunity to shape the future of AI-driven RCM from India. You will work closely with seasoned healthcare and technology leaders, building innovative solutions for one of the most critical areas of U.S. healthcare. Based in Thiruvananthapuram, Nuvae offers global exposure with a strong local base.,