Head of Revenue Cycle Management
3 weeks ago
Job Title: Head - Revenue Cycle Management (US Healthcare)_Vizag
Company: 2coms
About the Role:We seek an experienced Revenue Cycle Management professional to oversee our end-to-end Revenue Cycle Management process across multiple sites or teams. As the ideal candidate, you will provide strategic leadership, operational management, and implement productivity improvement initiatives focusing on automation and technological advancements.
Key Responsibilities:Leadership & Team Management
- Provide direct leadership and oversight to RCM Associate Manager, Team Leads, Analysts, and other RCM staff.
- Foster a high-performance culture by mentoring and developing team members, ensuring clear communication of goals and expectations.
- Conduct regular performance reviews and provide feedback and coaching to enhance team productivity and morale.
Revenue Cycle Management Oversight
- Act as a key point of contact for internal and external stakeholders, including clients, vendors, and regulatory bodies.
- Oversee the budgeting process for the RCM department, ensuring efficient use of resources and alignment with organizational financial goals.
- Prepare and present reports on RCM performance, project progress, and process improvements to senior leadership.
- Manage the day-to-day operations of the revenue cycle from insurance verification, billing, coding, claims submission, payment posting, and collections.
Strategic Planning and KPI Management
- Develop and implement strategies to optimize revenue cycle performance, focusing on reducing accounts receivable (AR) days, minimizing denials, and improving overall cash flow.
- Establish, monitor, and report on key performance indicators (KPIs) related to revenue cycle efficiency, financial outcomes, and process improvements.
Process Improvement, Automation & Special Projects
- Lead initiatives to identify and implement process improvements aimed at enhancing accuracy, efficiency, and revenue capture.
- Drive the adoption of automation and other technology solutions to streamline RCM processes, reduce manual workloads, and improve productivity.
- Collaborate with IT and other departments to ensure successful integration and utilization of new technologies.
Stakeholder Engagement & Reporting:
- Act as a key point of contact for internal and external stakeholders, including clients, vendors, and regulatory bodies.
- Prepare and present reports on RCM performance, project progress, and process improvements to senior leadership.
Requirements:
- Previous management experience in a healthcare setup (5+ years)
- Extensive knowledge of RCM processes for Laboratories and Out patients, healthcare billing and coding, and reimbursement methodologies.
- Exceptional analytical and problem-solving abilities, with experience in using data to drive decision-making and process improvement.
- Proven experience in managing large-scale projects, particularly those involving technology implementation and process reengineering.
- Proficiency with RCM software and automation tools.
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