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2 days ago
The RCM Leadership Professional will provide strategic leadership and operational oversight for offshore billing operations, ensuring end-to-end revenue cycle performance for healthcare provider clients.
Key Responsibilities- Strategic Vision: Define and execute the vision for RCM operations in alignment with business growth and client expectations.
- Develop policies, SOPs, and workflows that optimize revenue cycle performance across specialties (Orthopedics, Physical Therapy, Dermatology, Behavioral Health, Rheumatology, etc.).
- Partner with leadership to ensure client needs, compliance standards, and performance goals are consistently met.
- Operational Excellence: Oversee 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.
- Talent Development: 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.
- Customer Engagement: Act as a bridge between 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 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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