RCM Manager (Provider End)

1. We are seeking enthusiastic and experienced professionals for the position of RCM Manager. The ideal candidate should possess comprehensive knowledge of end-to-end RCM processes, including charge entry, payment posting, denial management, AR management, patient calling, and credentialing.

2. Certifications such as HFMA - CRCR and Six Sigma Green belt are highly valued. Candidates should have a solid understanding of AR KPI metrics, with a proven track record of managing business operations within SLA guidelines. Proficiency in identifying issues and resolving them through root cause analysis is essential.

3. The right candidate should demonstrate expertise in generating and analyzing reports using Excel tools. This role requires complete responsibility for the entire RCM process, combined with in-depth process knowledge and strong leadership capabilities. Maintaining the quality of deliverables in line with HBMA and MGMA standards is a key requirement.

4. Additionally, this role involves managing processes and collaborating with the US office to plan and implement process improvements. The goal is to achieve and exceed client SLAs while upholding organizational standards and practices. Strong communication, organizational skills, and a commitment to excellence are essential for this role.

RESPONSIBILITIES :

• Team Management
• Review capacity utilization across each project against deliverables
• Actively drive and monitor the daily production, quality, and deliverables
• Ensure all supervisors and assistant managers are performing their job responsibilities
• Identify all process gaps between all departments and fix them.
• Should work towards Client satisfaction and employee satisfaction both and will take the responsibility of keeping the team size intact.

COMPETENCIES, SKILLS, AND OTHER REQUISITES:

• Minimum of 10+ years in US Healthcare RCM (Provider End)
• Excellent Written & Communication skill sets.
• Brilliant Interpersonal & Collaborative skills.
• Confident, amicable and able to persuade and influence
• Unflinching integrity and personal work ethics
• Self-starter with the ability to lead and own projects end to end.

Preferred : Immediate Joiner

Salary will not be a constraint to a right candidate & at par with the industry standard