Sr. Leadership Role - RCM (US Healthcare)

Company Description

Saviour Nest Solutions provides technology-enabled end-to-end Revenue Cycle Management (RCM) solutions to US healthcare providers. Leveraging over 16 years of expertise in RCM functions, we utilize AI, conditional BOTs, cutting-edge analytics, and RPA workflows to improve revenue and cash flow for billing operations. Specialized in full-service medical billing, coding, and RCM support, our team helps reduce denials, increase collection rates, and ensure regulatory compliance. We deliver measurable results for all healthcare providers, from solo practitioners to multi-provider clinics and hospitals, using leading EHR platforms.

▪️ Job Title: Sr. Leadership Role – RCM (End-to-End Functions)

▪️Location: India [WFH/Remote]

▪️Shift: EST

Experience: 7+ years (with expertise in NJ & NY regions, commercial payors arbitration, OON providers)

Role Description

The ideal candidate will bring deep experience in commercial payor arbitration for Out-of-Network (OON) providers, particularly within the NJ & NY regions, and have worked in specialties such as surgeries and radiology

This is a unique opportunity for someone who thrives in building high-performing teams, taking full ownership, establishing processes from scratch, and driving operational excellence in a fast-paced environment. If you have the required expertise and are passionate about making a significant impact, we would love to connect and explore how you can be part of this exciting journey.

❌ However, for those who do not possess the relevant skills or experience in the areas mentioned, this opportunity may not be the right fit—so we kindly request you to refrain from applying.

Let’s create something impactful together!

Qualifications

• Deep understanding & experience in commercial payor arbitration process for Out-of-Network (OON) providers, particularly within the NJ & NY regions
• Proven experience in RCM, CPT/ICD-10 coding, and entire claim cycle
• Desire candidate must have min. 7 years of experience
• Leadership skills with min 4 years of experience in managing and optimizing RCM operations
• Experience with regulatory compliance and healthcare industry standards
• Proficiency in using billing software such as NextGen, AdvancedMD, EPIC & eCW.
• Strong analytical skills and experience with AI, RPA, and advanced analytics
• Excellent communication and organizational skills
• Bachelor's or advanced degree in healthcare administration, business management, or a related field
• Ability to work independently and remotely, with a proven track record of delivering results
• Certified professional biller (CPB)/ (CRCR) or relevant certification is a plus