Sr Director/Director

Guindy, Tamil Nadu

Position Type

Full Time

Requisition ID

12432

Level of Education

Masters Degree

Years of Experience

More than 15 Years

About Exela

Exela is a business process automation (BPA) leader, leveraging a global footprint and proprietary technology to provide digital transformation solutions enhancing quality, productivity, and end-user experience. With decades of expertise operating mission-critical processes, Exela serves a growing roster of more than 4,000 customers throughout 50 countries, including over 60% of the Fortune 100. With foundational technologies spanning information management, workflow automation, and integrated communications, Exela's software and services include multi-industry department solution suites addressing finance & accounting, human capital management, and legal management, as well as industry-specific solutions for banking, healthcare, insurance, and public sectors. - Through cloud-enabled platforms, built on a configurable stack of automation modules, and 17,500+ employees operating in 23 countries, Exela rapidly deploys integrated technology and operations as an end-to-end digital journey partner.

Sr Director/Director - RCM - Responsible for the entire financial process, from patient registration to payment. Their main goal is to optimize revenue collection, reduce claim denials, and ensure compliance with all healthcare regulations.

Job Description

A Director of Revenue Cycle Management (RCM) is a senior leader in a healthcare organization responsible for the entire financial process, from patient registration to payment. Their main goal is to optimize revenue collection, reduce claim denials, and ensure compliance with all healthcare regulations.

Roles and Responsibilities

A Director of RCM operates at a strategic level, overseeing the day-to-day operations and guiding the long-term vision for the revenue cycle. Their key responsibilities include:

• Strategic Leadership: Developing and executing strategies to maximize revenue capture and improve operational efficiency. This includes setting financial goals, monitoring key performance indicators (KPIs) like accounts receivable (A/R) days and denial rates, and implementing new technologies or processes.
• Team Management: Leading and managing multidisciplinary teams involved in billing, coding, collections, and patient access. This involves hiring, training, and performance management to ensure the team is aligned with organizational goals.
• Compliance and Risk Management: Ensuring all billing and coding practices adhere to federal, state, and payer-specific regulations (e.g., HIPAA, Medicare, Medicaid). The director is responsible for internal audits and implementing policies to mitigate financial and legal risks.
• Process Improvement: Analyzing workflows to identify bottlenecks and inefficiencies. They are responsible for streamlining processes, leveraging technology (like electronic health records and RCM software), and fostering collaboration between clinical and administrative departments to improve patient financial experience and cash flow.
• Financial Oversight: Managing budgets, forecasting revenue, and reporting on financial performance to senior leadership. They analyze claims, utilization, and cost data to identify trends and make informed decisions.

Required Skills and Qualifications

To be successful, a Director of RCM needs a strong mix of technical knowledge, analytical abilities, and leadership skills.

• Education and Experience: A bachelor's degree in healthcare administration, finance, or a related field is typically required. Many roles prefer or require a master's degree. Candidates should have a minimum of 7-10 years of progressive experience in revenue cycle management, with a proven track record of success in a leadership role. Certifications like Certified Revenue Cycle Representative (CRCR) or Certified Professional Biller (CPB) are highly valued.
• Technical Knowledge:
• Expertise in RCM processes: A deep understanding of the entire revenue cycle, from patient registration and insurance verification to billing, collections, and denial management.
• Medical Billing and Coding: In-depth knowledge of CPT, ICD-10, and other coding systems, as well as a solid grasp of third-party payer regulations (Medicare, Medicaid, commercial insurance).
• Financial Acumen: Proficiency in financial analysis, budgeting, and reporting, with the ability to interpret and act on data.

Soft Skills:

Leadership and Team Building: The ability to motivate and lead a large team, fostering a collaborative and high-performance environment.

Communication: Excellent written and verbal communication skills to effectively interact with staff, senior management, and external stakeholders like insurance companies.

Problem-Solving: Strong analytical and critical thinking skills to identify complex issues and implement effective solutions.

Adaptability: The healthcare landscape is constantly changing, and a Director of RCM must be able to adapt to new regulations, technologies, and payer requirements.

Disclaimer:

Exela is committed to creating a diverse environment and is proud to be an equality opportunity employer. Qualified applicants will considered for employment without regard to their race, color, creed, religion, national origin, ancestry, citizenship status, age, disability, gender/sex, marital status, sexual orientation, gender identity, gender expression, veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local laws.

Exela recruiters or representatives will only contact you from emails ending with , , , or We would never ask you for payment or ask you to deposit a check into your personal bank account during the recruitment process.