About the Role
As part of our organizational growth, our client is introducing a new management layer to strengthen RCM (Revenue Cycle Management) execution and operational governance. 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.