
AVP/ VP- Rcm Operations
2 days ago
Role & responsibilities
- Lead and manage large RCM delivery teams, including managers and team leads across multiple functions (billing, coding, AR, etc.).
- Ensure smooth execution of processes across the revenue cycle to achieve operational KPIs (cash collections, DSO, AR aging, denial rate, etc.).
- Drive continuous process improvements through automation, standardization, and lean methodologies.
- Partner with clients, internal stakeholders, and cross-functional teams to ensure high-quality service delivery and SLA adherence.
- Analyze performance reports and implement strategies to improve financial outcomes and operational efficiency.
- Oversee recruitment, training, and development of RCM staff to support team and business growth.
- Ensure adherence to HIPAA and healthcare compliance requirements.
- Lead transition and onboarding of new RCM clients/projects.
- Act as a strategic advisor to senior leadership on operational risks, metrics, and business development opportunities.
Preferred candidate profile
- Bachelor's degree in Healthcare Administration, Business, or a related field (Masters preferred).
- 15-20 years of progressive experience in RCM operations, including 5+ years in a senior leadership role.
- Deep understanding of the US healthcare RCM cycle: coding, billing, collections, and compliance.
- Strong analytical and problem-solving skills with experience in revenue analysis and performance management.
- Proficiency in RCM platforms (e.g., Epic, Athena, Cerner, eClinicalWorks) and MS Office tools.
- Excellent communication, stakeholder management, and team leadership skills.
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