Job Details
Description
Key responsible :
Position Title: General Manager / Asst Director/ Director – Healthcare Revenue Cycle Management (RCM)
Reports To: Vice President
Department: Healthcare Operations
Role Summary
The GM/Asst Director/ Director of Healthcare RCM will lead end-to-end revenue cycle operations, ensuring efficiency, compliance, client satisfaction, and financial performance. This role requires strategic oversight, people leadership, and deep expertise in US healthcare RCM processes.
Key Responsibilities
Strategic Leadership
- Drive strategy, planning, and execution for all RCM functions: patient access, billing, coding, charge capture, claims processing, payment posting, AR follow-up, and denial management.
- Develop and execute initiatives to improve collections, reduce denials, and optimize cash flow.
- Align operations with client requirements, compliance standards, and industry best practices.
Operational Excellence
- Oversee large-scale RCM operations across multiple clients/accounts.
- Monitor KPIs (AR days, clean claim rate, denial rate, net collection rate, etc.) and ensure continuous improvement.
- Implement process automation and digital transformation to enhance efficiency.
Client & Stakeholder Management
- Serve as a key point of contact for client leadership.
- Build strong partnerships, ensuring SLAs, TATs, and quality benchmarks are met/exceeded.
- Manage escalations and drive resolution with a client-first approach.
Team Leadership
- Lead and inspire a large team of managers, SMEs, and associates across functions.
- Hire, mentor, and develop leadership talent to build strong succession pipelines.
- Drive employee engagement, retention, and a performance-driven culture.
Compliance & Quality
- Ensure adherence to HIPAA, CMS guidelines, and client-specific compliance requirements.
- Establish and monitor strong internal controls and audit processes.
- Partner with Quality and Training teams to maintain high accuracy levels.
Financial Management
- Own the P&L for assigned accounts/operations.
- Drive cost optimization without compromising quality.
- Provide accurate financial forecasts, budgets, and performance reports to leadership.
Key Skills & Competencies
- Expertise in US healthcare RCM (front-end to back-end).
- Strong knowledge of payer rules, coding guidelines, HIPAA compliance.
- Proven experience in large-scale operations management (250+ FTEs).
- Client-facing leadership skills with ability to build CXO-level relationships.
- Strong analytical and problem-solving mindset; data-driven decision-making.
- Ability to drive digital/automation initiatives (RPA, AI in RCM).
- Excellent communication, negotiation, and stakeholder management skills.
Qualifications:15+ years of experience in Healthcare RCM, with at least 5+ years in a senior leadership role (GM/ Asst Director).
Success Metrics
- Improvement in collections and AR performance.
- Reduction in denials and operational errors.
- Achievement of SLA and client satisfaction scores.
- Employee retention and leadership pipeline strength.
- Profitability and cost optimization in line with business goals.
