Job Description

Key Responsibilities

Strategic Leadership

Drive strategy, planning, and execution for all RCM functions: patient access, billing, coding, charge capture, claims processing, payment posting, AR follow-up, and denial management. Develop and execute initiatives to improve collections, reduce denials, and optimize cash flow. Align operations with client requirements, compliance standards, and industry best practices.

Operational Excellence

Oversee large-scale RCM operations across multiple clients/accounts. Monitor KPIs (AR days, clean claim rate, denial rate, net collection rate, etc.) and ensure continuous improvement. Implement process automation and digital transformation to enhance efficiency.

Client & Stakeholder Management

Serve as a key point of contact for client leadership. Build strong partnerships, ensuring SLAs, TATs, and quality benchmarks are met/exceeded. Manage escalations and drive resolution with a client-first approach.

Team Leadership

Lead and inspire a large team of managers, SMEs, and associates across functions. Hire, mentor, and develop leadership talent to build strong succession pipelines. Drive employee engagement, retention, and a performance-driven culture.

Compliance & Quality

Ensure adherence to HIPAA, CMS guidelines, and client-specific compliance requirements. Establish and monitor strong internal controls and audit processes. Partner with Quality and Training teams to maintain high accuracy levels.

Financial Management

Own the P&L for assigned accounts/operations. Drive cost optimization without compromising quality. Provide accurate financial forecasts, budgets, and performance reports to leadership.

Key Skills & Competencies

Expertise in

US healthcare RCM (front-end to back-end)

. Strong knowledge of payer rules, coding guidelines, HIPAA compliance. Proven experience in

large-scale operations management (250+ FTEs)

. Client-facing leadership skills with ability to build CXO-level relationships. Strong analytical and problem-solving mindset; data-driven decision-making. Ability to drive digital/automation initiatives (RPA, AI in RCM). Excellent communication, negotiation, and stakeholder management skills.

Success Metrics

Improvement in collections and AR performance. Reduction in denials and operational errors. Achievement of SLA and client satisfaction scores. Employee retention and leadership pipeline strength. Profitability and cost optimization in line with business goals.

WHY JOIN GETIXHEALTH?:

Founded in 1992, GetixHealth is a trusted leader in healthcare revenue cycle management, with offices across the U.S. and India. We're more than revenue cycle experts--we're a mission-driven team dedicated to helping healthcare organizations improve financial outcomes while delivering compassionate care. With over 1,800 employees, we foster a culture that values professionalism, innovation, and--above all--people.

GETIXHEALTH IS AN EQUAL OPPORTUNITY EMPLOYER