Team Manager - RCM

As an RCM Team Manager, you will lead the day-to-day operations of back-office Revenue Cycle Management (RCM) functions in the US healthcare domain. Your role is critical in ensuring customer satisfaction by meeting contractual SLAs, driving operational improvements, and managing a team of 50-70 FTEs. You will streamline RCM processes, implement cost-saving strategies, and ensure high-quality service delivery. This role also involves performance monitoring, reporting, and improvement projects to ensure operational excellence and efficiency.

Key Responsibilities:

• Streamline and optimize core RCM processes, including Billing, Cash Posting, Credit Balance, Accounts Receivables, Denial Management, and Correspondence review.
• Formulate and implement strategic plans for new technologies and tools that drive profitable growth for the account.
• Execute cost-saving measures to reduce operational costs while maintaining quality service delivery.
• Apply Lean Six Sigma methodologies to ensure quality and regulatory compliance in RCM processes.
• Prioritize work, deploy staff effectively, and ensure on-time delivery of services.
• Manage, train, and develop a motivated team to meet customer satisfaction goals.
• Oversee performance management of teams, ensuring consistent delivery of quality work.
• Review and analyze team performance, implementing improvement plans as needed.
• Prepare and review operational metrics reports (daily, weekly, monthly) using MS Excel and Practice Management/Billing Systems.
• Identify trends in reports and take action to resolve AR issues and improve team performance.
• Generate and distribute accurate management reports and conduct data analysis for periodic and ad-hoc reports.
• Maintain and report on KPIs through daily operational scorecards, assisting with volume forecasting and capacity planning.
• Drive continuous improvement projects to enhance productivity, SLA compliance, and quality.
• Maintain brand integrity by adhering to company standards and processes.
• Establish and maintain strong relationships with Team Managers and clients.

Qualifications:

• 12+ years of experience in US Healthcare RCM.
• Knowledge and certification in Lean Six Sigma or other quality management practices are a plus.
• Proficiency in MS Excel, including advanced features like creating macros.
• Strong ability to analyze raw data, draw conclusions, and develop actionable insights.
• Ability to handle multiple reporting tasks simultaneously and adapt to new technical environments.
• Strong communication skills, both verbal and written.