Revenue Cycle Consultant

14 hours ago

New Delhi, India Nuvae.ai Full time

Company DescriptionNuvae delivers an advanced GenAI-powered Revenue Management Agent and Conversational AI Platform tailored for hospitals and healthcare practices. Our solutions specialize in information retrieval, Retrieval-Augmented Generation (RAG), process automation, and generating actionable insights. By leveraging Nuvae, healthcare organizations can improve operational efficiency and maximize revenue outcomes.About the RoleWe are seeking an experienced Revenue Cycle Management (RCM) Manager with deep knowledge of the U.S. healthcare system. The ideal candidate will bring strong expertise across the full RCM cycle, with a focus on eligibility verification, prior authorization, and claims management. This role requires close collaboration with our engineering team to help shape AI-driven RCM solutions, making both operational and product impact.Key Responsibilities- Oversee end-to-end RCM operations for U.S. hospital clients. - Ensure accuracy and efficiency in eligibility checks, prior authorization, claims submission, and denial management. - Work closely with the product and engineering teams to provide domain insights that improve automation and AI-driven workflows. - Establish and monitor KPIs to ensure compliance, accuracy, and performance in RCM processes. - Train and mentor team members to build strong RCM operational capability. - Collaborate with clients to address escalations, resolve issues, and improve process outcomes.Requirements- 5+ years of proven experience in U.S. healthcare revenue cycle management. - Strong understanding of hospital RCM processes, particularly eligibility, pre-authorization, and claims. - Experience working with or supporting technology/engineering teams. - Excellent communication and client management skills. - Ability to work independently in a startup environment and adapt to evolving priorities.Preferred Qualifications- Prior experience in hospital RCM operations or with U.S. healthcare providers. - Familiarity with AI/automation in healthcare RCM processes. - Leadership experience managing small to mid-size teams.Why Join Us- Opportunity to shape the future of AI-driven RCM from India. - Work closely with seasoned healthcare and technology leaders. - Build innovative solutions for one of the most critical areas of U.S. healthcare. - Based in Thiruvananthapuram, offering global exposure with a strong local base.

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