Revenue Cycle Management Leader

5 days ago

Ajmer, Rajasthan, India beBeeReceivables Full time ₹ 90,00,000 - ₹ 1,20,00,000

The Director of Revenue Cycle Management (RCM) plays a pivotal role in driving end-to-end revenue cycle performance for U.S. healthcare provider clients.

This leadership position oversees offshore billing operations, ensuring robust processes are implemented to optimize revenue cycle performance across various specialties.

Key Responsibilities:

Strategic Leadership
  • Develop and execute the vision for RCM operations in alignment with company growth and client expectations.
  • Create policies, SOPs, and workflows that enhance revenue cycle performance.
  • Prioritize client needs, compliance standards, and performance goals through collaboration with U.S. leadership.
Operational Management
  • 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 ensure accuracy, timeliness, and compliance.
  • Establish standardized reporting cadence: daily, weekly, and monthly dashboards for AR, denials, collections, and payer trends.
  • Efficiently onboard new clients and practices into billing workflows.
People Leadership
  • Mentor offshore managers, team leads, and billers to promote accountability and career growth.
  • Cultivate 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
  • Bridge the communication gap between U.S. leadership and offshore teams.
  • Participate in client calls, providing updates on revenue performance, denial trends, and improvement initiatives.
  • Proactively identify client risks and recommend process enhancements.
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 refine internal SOPs.
  • Maximize efficiency by leveraging technology and automation tools.

The ideal candidate will possess a Bachelor's degree, preferably in Business or Healthcare Administration, with a minimum 8+ years of experience in U.S. healthcare RCM, including at least 5 years in leadership roles overseeing offshore teams.

The incumbent should have a deep understanding of the end-to-end RCM cycle and strong analytical/reporting abilities. Excellent communication, leadership, and problem-solving skills are also essential.

Key Skills include Strategic thinking, Operational execution, Team leadership, Client management, Problem-solving, and Process optimization.

Performance Metrics (KPIs): AR Days < 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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