Lead Revenue Cycle Management Professional

1 day ago

Mangalore, Karnataka, India beBeeDirector Full time ₹ 9,00,000 - ₹ 12,00,000

Role Overview

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The Director of Revenue Cycle Management (RCM) drives business growth and client satisfaction through strategic leadership, operational execution, and people management. This key position oversees end-to-end revenue cycle performance, ensuring timely payment receipt from U.S. healthcare provider clients.

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  • Leadership Excellence: The Director RCM defines and executes the vision for RCM operations in alignment with company goals. They partner with cross-functional teams to ensure seamless billing workflows, compliance standards, and performance metrics are consistently met.
  • Strategic Planning: Develops policies, SOPs, and workflows that optimize revenue cycle performance across various specialties.
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Operational Expertise: Oversees daily operations of the billing team, including charge entry, payment posting, accounts receivable calling, denial management, credentialing, and reporting. Implements audit and quality frameworks to monitor accuracy, timeliness, and compliance.

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  • Standardized Reporting: Establishes standardized reporting cadence for AR, denials, collections, and payer trends. Ensures smooth onboarding of new clients and practices into billing workflows.
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People Leadership: Manages and mentors offshore managers, team leads, and billers to ensure accountability and career growth. Builds a performance-driven culture with clear KPIs, evaluation frameworks, and feedback mechanisms.

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  • Team Development: Drives recruitment, training, and upskilling initiatives to maintain high-quality output.
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Client & Stakeholder Engagement: Acts as a bridge between leadership and offshore teams to ensure clear communication and alignment. Participates in client calls, providing updates on revenue performance, denial trends, and improvement initiatives.

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  • Proactive Risk Identification: Proactively identifies client risks and recommends process improvements.
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Compliance & Process Improvement: Ensures adherence to U.S. healthcare billing regulations, HIPAA compliance, and payer-specific requirements. Monitors payer changes, industry trends, and regulatory updates to update internal SOPs.

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  • Efficiency Enhancement: Leverages technology and automation tools to drive efficiency.
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Qualifications & Skills:

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  • 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.
  • Deep knowledge of the end-to-end RCM cycle (charge capture, claim submission, payment posting, AR follow-up, denial management, credentialing, patient collections).
  • Strong understanding of U.S. payers, EHR/PM systems, and compliance frameworks.
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Key Performance Indicators (KPIs):

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  • 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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