Job Description

We are seeking an experienced Revenue Cycle Management (RCM) Operating Manager to oversee daily operations, optimize processes, and lead a team of professionals responsible for the end-to-end revenue cycle. This role is essential for ensuring efficient, accurate, and compliant billing practices, maximizing revenue capture, and enhancing financial performance. The ideal candidate has a strong background in healthcare RCM, excellent analytical skills, and leadership experience in a fast-paced environment.

Key Responsibilities

Oversee RCM Operations:

Manage all aspects of the revenue cycle, including patient registration, insurance verification, claims submission, payment posting, accounts receivable, Credentialing and collections.

Process Improvement:

Identify inefficiencies in the RCM process and develop and implement strategic initiatives to streamline workflows and improve key performance indicators (KPIs).

Compliance and Regulatory Adherence:

Ensure compliance with healthcare regulations and payer policies. Keep updated with industry trends, Medicare/Medicaid regulations, and other payer guidelines.

Team Leadership:

Lead, train, and mentor a team of billing, coding, and collections specialists. Foster a culture of accountability, collaboration, and continuous learning.

Data Analysis and Reporting:

Use data to monitor RCM performance, identify trends, and create reports on productivity, collection rates, and other metrics. Present insights and recommendations to senior management.

Stakeholder Collaboration:

Collaborate with clinical, finance, and IT departments to align revenue cycle processes with overall business objectives and improve patient experience.

Vendor Management:

Manage relationships with third-party vendors and ensure that their services meet organizational standards and goals.

Problem Resolution:

Resolve complex billing issues, manage escalated cases, and work with payers to ensure timely payment.
Required Qualifications

Education:

Bachelor's degree in Healthcare Administration, Business, Finance, or related field (Master's degree preferred).

Experience:

Minimum of 5 years in healthcare revenue cycle management, with at least 2 years in a supervisory or managerial role.

Technical Skills:

Proficiency with RCM software (e.g., Epic, Cerner, ECW or similar), Microsoft Office, and data analysis tools.

Knowledge:

In-depth knowledge of medical billing codes, claims processing, payer requirements, and healthcare regulations.

Leadership Skills:

Demonstrated ability to lead and motivate teams, drive performance, and manage through change.

Analytical Skills:

Strong problem-solving abilities, with experience in data-driven decision-making.

Communication:

Excellent verbal and written communication skills, with the ability to present complex information to various stakeholders.
Preferred Qualifications

Industry Knowledge:

Familiarity with healthcare policies, including HIPAA, and an understanding of healthcare reform trends and impacts on revenue cycle management.
Job Type: Full-time

Pay: ₹40,000.00 - ₹55,000.00 per month

Ability to commute/relocate:

Thanjavur, Tamil Nadu: Reliably commute or planning to relocate before starting work (Required)
Experience:

Operations management: 2 years (Required)
Language:

English (Required)
Shift availability:

Day Shift (Preferred) Night Shift (Preferred)
Work Location: In person