RCM Process Specialist

1 week ago


Bengaluru, Karnataka, India Huron Full time

The Opportunity

Huron is a leading consulting firm that helps healthcare organizations drive growth, enhance performance, and sustain leadership in their markets. We empower our clients to build innovation capabilities, accelerate key growth initiatives, and create sustainable growth, optimizing internal processes and delivering better consumer outcomes.

Position Summary

As a RCM QA/Process Specialist, you will be responsible for team handling, work allocation, client interactions, and generating, distributing RCM metrics reports to the leadership team. You will also be responsible for periodically reviewing team performance, recommending performance improvement plans, and identifying trends and patterns from generated reports to initiate action plans to resolve AR issues.

Key Responsibilities

  • Experience in handling a team/group of 15 to 20 FTEs
  • Thorough understanding of RCM processes like Billing, Cash Posting, Credit Balance, Accounts Receivables, Denial Management & Correspondence review
  • Very good understanding of RCM metrics like Days in AR, Ageing above 90 days, Collections, and bad debt
  • Hands-on in preparing daily, weekly, and monthly operational metrics reports from the Practice Management/Billing System and workflow tool using MS-Excel
  • Responsible for work allocation/distribution to the team and monitor the team work
  • Create and maintain daily operational scorecards to track and report KPIs; assist in volume forecast and capacity planning as required
  • Generate and distribute management reports in accurate and timely manner
  • Perform data analysis for generating reports on a periodic basis, including ad-hocs

Qualifications

• 5+ years of industry experience

• 3+ years of experience in relevant billing functions is a must

• Proficient in MS Excel and creating Excel macros

• Strong ability to analyze raw data, draw conclusions, and develop actionable recommendations

• Ability to handle multiple tasks of reporting simultaneously

• Ability to adapt quickly to new and changing technical environments as well as strong analytical, problem-solving, and quantitative abilities

Education/Certifications

Graduate in any discipline



  • Bengaluru, Karnataka, India Huron Full time

    The OpportunityHuron is a leading consulting firm that helps healthcare organizations drive growth, enhance performance, and sustain leadership in the markets they serve. We empower our clients to create sustainable growth, optimize internal processes, and deliver better consumer outcomes.As a RCM Process Specialist, you will be responsible for team...


  • Bengaluru, Karnataka, India Huron Full time

    The OpportunityHuron helps its clients drive growth, enhance performance, and sustain leadership in the markets they serve. We empower healthcare organizations to build innovation capabilities, accelerate key growth initiatives, and deliver better consumer outcomes.Position SummaryAs a RCM QA/Process Specialist, you will be responsible for team handling,...


  • Bengaluru, Karnataka, India Huron Full time

    The OpportunityHuron helps its clients drive growth, enhance performance, and sustain leadership in the markets they serve. We empower healthcare organizations to build innovation capabilities and accelerate key growth initiatives, enabling them to own the future instead of being disrupted by it. Together, we empower clients to create sustainable growth,...


  • Bengaluru, Karnataka, India Huron Full time

    The OpportunityHuron helps its clients drive growth, enhance performance, and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future instead of being disrupted by it. Together, we empower clients to create sustainable growth,...


  • Bengaluru, Karnataka, India Huron Full time

    The OpportunityHuron helps its clients drive growth, enhance performance, and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future instead of being disrupted by it.Health systems, hospitals, and medical clinics are under...


  • Bengaluru, Karnataka, India Huron Full time

    The OpportunityHuron helps its clients drive growth, enhance performance, and sustain leadership in the markets they serve. We empower clients to create sustainable growth, optimize internal processes, and deliver better consumer outcomes.Healthcare organizations are under immense pressure to improve clinical outcomes and reduce the cost of providing patient...


  • Bengaluru, Karnataka, India KPMG India Full time

    KPMG India is a leading professional services firm with a strong presence in India. We are seeking a highly skilled SAP SuccessFactors RCM Implementation Specialist to join our team.As a SAP SuccessFactors RCM Implementation Specialist, you will be responsible for implementing the SAP SuccessFactors RCM module across various clients. Your expertise in SAP...


  • Bengaluru, Karnataka, India People First Consultants Full time

    Role: Healthcare RCM SpecialistKey Responsibilities:Manage healthcare revenue cycle management processesCollaborate with cross-functional teams to improve operational efficiencyAnalyze and resolve billing and payment discrepanciesLocation: RemoteCompensation: Competitive salary and benefits packageOpen Positions: 2


  • Bengaluru, Karnataka, India ITHR 360 Consulting FZE Full time

    Job Title: SAP SuccessFactors RCM/RMK Implementation Specialist**Job Summary:**We are seeking a highly skilled SAP SuccessFactors RCM/RMK Implementation Specialist to join our team at ITHR 360 Consulting FZE. As a key member of our implementation team, you will be responsible for delivering high-quality solutions for our clients' SuccessFactors Recruitment...


  • Bengaluru, Karnataka, India People First Consultants Full time

    **Role:** PE & SPE AR – US Healthcare & RCMWe are seeking a highly skilled professional to join our team at People First Consultants as a PE & SPE AR specialist in the US Healthcare & RCM domain.Key Responsibilities:Develop and implement effective PE & SPE AR strategies to drive business growth in US Healthcare & RCM.Collaborate with cross-functional teams...


  • Bengaluru, Karnataka, India People First Consultants Full time

    Role: PE & SPE AR – US Healthcare & RCMKey Responsibilities:• Participate in the development of PE and SPE AR strategies for US Healthcare clients.• Collaborate with cross-functional teams to deliver high-quality RCM solutions.Requirements:• 2+ years of experience in PE and SPE AR for US Healthcare clients.• Strong understanding of RCM principles...


  • Bengaluru, Karnataka, India Huron Full time

    The OpportunityHuron helps its clients drive growth, enhance performance, and sustain leadership in the markets they serve. We empower healthcare organizations to build innovation capabilities, accelerate key growth initiatives, and create sustainable growth, optimize internal processes, and deliver better consumer outcomes.Position SummaryAs a process...

  • Team Manager

    2 weeks ago


    Bengaluru, Karnataka, India Huron Full time

    Empower Healthcare Organizations with Innovative SolutionsHuron helps its clients drive growth, enhance performance, and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we...


  • Bengaluru, Karnataka, India Huron Full time

    The OpportunityHuron is a leading consulting firm that helps healthcare organizations drive growth, enhance performance, and sustain leadership in the markets they serve. We empower our clients to create sustainable growth, optimize internal processes, and deliver better consumer outcomes.Position SummaryAs a Process Specialist, you will be responsible for...


  • Bengaluru, Karnataka, India R1 RCM Full time

    Key Responsibilities:We are seeking a skilled Quality Assurance Specialist to join our team at R1 RCM. In this role, you will be responsible for ensuring the accuracy and integrity of coding practices.Key Responsibilities:Develop and maintain comprehensive knowledge of coding guidelines, Coding Clinics, and relevant references to ensure accurate code...


  • Bengaluru, Karnataka, India Huron Full time

    The OpportunityHuron helps its clients drive growth, enhance performance, and sustain leadership in the markets they serve. We empower healthcare organizations to build innovation capabilities and accelerate key growth initiatives, enabling them to own the future.Healthcare systems face immense pressure to improve clinical outcomes and reduce costs. To...


  • Bengaluru, Karnataka, India Huron Full time

    The OpportunityHuron, a global consulting and advisory leader, is seeking a skilled RCM Operations Manager to join our team. As a key member of our healthcare consulting practice, you will play a critical role in driving growth, enhancing performance, and sustaining leadership in the markets we serve.Position SummaryThe ideal candidate will have 12+ years of...


  • Bengaluru, Karnataka, India KPMG India Full time

    About KPMG IndiaKPMG entities in India offer professional services to national and international clients. Our professionals leverage a global network of firms and are conversant with local laws, regulations, markets, and competition.Key Responsibilities:Minimum 6-8 years of SAP SuccessFactors RCM module experienceMust have more than 2-3 end-to-end...

  • RCM Team Manager

    3 weeks ago


    Bengaluru, Karnataka, India Huron Full time

    The OpportunityHuron is a leading consulting firm that helps healthcare organizations drive growth, enhance performance, and sustain leadership in the markets they serve. We empower our clients to create sustainable growth, optimize internal processes, and deliver better consumer outcomes.Position SummaryAs a RCM Team Manager, you will be responsible for...

  • RCM Team Manager

    3 weeks ago


    Bengaluru, Karnataka, India Huron Full time

    The OpportunityHuron helps its clients drive growth, enhance performance, and sustain leadership in the markets they serve. We empower healthcare organizations to build innovation capabilities and accelerate key growth initiatives, enabling them to own the future instead of being disrupted by it. Together, we help clients create sustainable growth, optimize...