
Revenue Cycle Operations Leader
2 days ago
We are seeking a highly skilled and experienced Director to provide strategic leadership and operational oversight for our offshore billing operations.
The successful candidate will be responsible for building robust processes, maintaining payer compliance, driving collections, minimizing denials, and mentoring offshore teams to deliver world-class results.
Key Responsibilities- Strategic Leadership:
- Define and execute the vision for RCM operations in alignment with company growth and client expectations.
- Develop policies, SOPs, and workflows that optimize revenue cycle performance across specialties.
- Partner with U.S. leadership to ensure client needs, compliance standards, and performance goals are consistently met.
- Operational Management:
- Oversee 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:
- Manage 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 & Stakeholder Engagement:
- Act as a bridge 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 & Process Improvement:
- Ensure adherence to U.S. healthcare billing regulations, HIPAA compliance, and payer-specific requirements.
- Monitor payer changes, industry trends, and regulatory updates to update internal SOPs.
- Leverage technology and automation tools to drive efficiency.
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