Director of End-to-End Revenue Cycle Management
1 day ago
**Revenue Cycle Director Role Overview**
The Director of Revenue Cycle Management will be responsible for leading offshore billing operations to achieve end-to-end revenue cycle performance for healthcare providers.
**Key Responsibilities Include:
- Leadership and Strategy
- Develop strategic plans, policies, and workflows to optimize revenue cycle performance across various specialties.
- Partner with U.S. leadership to ensure client needs, compliance standards, and performance goals are met.
- Operational Oversight
- Manage the daily operations of the billing team in India, including charge entry, payment posting, AR calling, denial management, credentialing, and reporting.
- Implement audit and QA frameworks to monitor accuracy, timeliness, and compliance.
- Standardize reporting cadence: daily, weekly, and monthly dashboards for AR, denials, collections, and payer trends.
- Ensure smooth onboarding of new clients and practices into billing workflows.
- People Leadership and Development
- Lead and mentor offshore managers, team leads, and billers to ensure accountability and career growth.
- Build a performance-driven culture with clear KPIs, evaluation frameworks, and feedback mechanisms.
- Drive recruitment, training, and upskilling initiatives to maintain high-quality output.
- Client and Stakeholder Engagement
- Act as a liaison between U.S. leadership and offshore teams to ensure clear communication and alignment.
- Participate in client calls, providing updates on revenue performance, denial trends, and improvement initiatives.
- Proactively identify client risks and recommend process improvements.
- Compliance and Process Improvement
- Ensure adherence to U.S. healthcare billing regulations and HIPAA compliance.
- Monitor payer changes, industry trends, and regulatory updates to update internal SOPs.
- Leverage technology and automation tools to drive efficiency.
**Requirements:**
- Bachelor's degree required; Master's in Business, Healthcare Administration, or related field preferred.
- Minimum 8+ years of U.S. healthcare RCM experience, with at least 5 years in leadership roles overseeing offshore teams.
- Strong understanding of U.S. payers, EHR/PM systems, and compliance frameworks.
- Excellent communication, leadership, and analytical skills.
**Performance Metrics (KPIs):**
- AR Days: Maintain < 35 days
- Clean Claim Rate: > 95%
- Denial Rate: < 5%
- Collection Rate: > 95% of net collectible revenue
- Productivity: Calls/claims processed per FTE per day
- Team Performance: Adherence to SLAs and quality scores
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