Revenue Cycle Manager

5 - 8 years

12 - 18 Lacs

Posted:5 days ago| Platform: Naukri logo

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Work Mode

Hybrid

Job Type

Full Time

Job Description

The ideal candidate will have over

7-12+ years of comprehensive, end-to-end leadership in either front-end processes

(Authorization, Eligibility & Benefits Verification), Billing or back-end processes (Accounts

Receivable, Denial Management). This role requires a strong leader who can drive

performance, ensure compliance, and implement process improvements to maximize revenue

and operational efficiency. We are looking for team size management experience of

minimum 60-100 people.

This role is internal-facing and requires strong project management, people leadership, and

operational rigor.

Key Responsibilities

1. People Leadership and Team Development

  • Lead, mentor, and motivate a large team of 80-150 RCM professionals to consistently

achieve and exceed performance targets.

  • Groom internal leadership by conducting regular performance reviews, providing

constructive feedback, and identifying specific training and development needs.

  • Foster a positive and collaborative work environment that encourages continuous

professional growth and learning.

2. Operational Excellence and Quality

  • Own and manage all operational aspects of either the front-end or back-end Revenue

Cycle Management (RCM) processes.

  • Ensure all processes are executed with high accuracy and efficiency, adhering strictly to

company policies and industry best practices.

  • Monitor and analyze key performance indicators (KPIs), including claims submission

rates, denial rates, and collection percentages, to ensure operational goals are met.

  • Maintain strict regulatory compliance, ensuring adherence to all relevant healthcare

regulations (e.g., HIPAA) and company compliance standards.

  • Stay updated on changes in payer regulations, coding standards, and billing

requirements to ensure continuous compliance.

3. Process Improvement and Efficiency

  • Develop, implement, and maintain clear Standard Operating Procedures (SOPs) for all

tasks within the assigned RCM process.

  • Proactively identify process bottlenecks and implement corrective actions to improve

workflow, enhance productivity, and drive operational efficiency.

  • Collaborate effectively with cross-functional departments (e.g., CRM, CoE) to resolve

systemic issues and streamline workflows.

Desired Skills & Experience

  • Exceptional attention to detail and a strong capability for process optimization,

directly ensuring the delivery of high-quality, efficient services, and solutions.

  • Proven ability to perform reliably under high-pressure deadlines while consistently

maintaining and elevating service quality standards.

  • Groom internal leadership by conducting regular performance reviews, providing

constructive feedback, and identifying specific training and development needs.

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Staffing and Recruiting

Atlanta GA

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