Job Title Manager Operations (RCM)
Location Chennai DLF
Experience 812 years (RCM Operations Front End)
Job Summary
We are looking for an experienced Manager Operations in the Revenue Cycle Management (RCM) domain to lead and manage front-end revenue cycle processes, specifically Eligibility & Benefits Verification, Prior Authorizations, and Insurance Verification. The role requires strong people management, client handling, process optimization, and deep payer knowledge.
Key Responsibilities
- Manage end-to-end Eligibility Verification, Benefits Verification, and Prior Authorization operations
- Lead, mentor, and manage team leads, supervisors, and associates
- Ensure accurate verification of patient insurance coverage, benefits, deductibles, copays, and out-of-pocket details
- Oversee authorization workflows including medical necessity checks and payer-specific requirements
- Monitor daily productivity, quality, TAT, and SLA adherence
- Drive process improvements, automation initiatives, and error reduction
- Handle client communications, performance reviews, and escalation management
- Conduct regular audits, root cause analysis, and corrective action plans
- Ensure compliance with HIPAA, payer guidelines, and client SOPs
- Prepare and present MIS, dashboards, and operational metrics
- Support transitions, ramp-ups, and new client implementations
Required Skills & Competencies
- Strong knowledge of US Healthcare RCM Front-End Operations
- Expertise in Eligibility & Benefits Verification and Prior Authorization
- In-depth understanding of commercial, Medicare, Medicaid, and Managed Care payers
- Excellent people management and stakeholder management skills
- Strong analytical, problem-solving, and decision-making abilities
- Experience working with EMRs, practice management systems, and payer portals
- Excellent communication skills (written & verbal)
Preferred Experience
- Experience working with US Healthcare providers / billing companies
- Prior exposure to client-facing roles and offshore delivery models
- Experience managing teams of 200+ FTEs
- Knowledge of Lean, Six Sigma, or process excellence frameworks is a plus
Why Join Us
- Opportunity to lead critical RCM operations
- Exposure to high-impact client engagements
- Career growth in a fast-growing healthcare services environment
Perks and Benefits:
- Competitive salary and performance-based incentives
- Health insurance
- Night shift allowance
- Professional development opportunities
- Dynamic and inclusive work culture
If interested, send your CV to 8248165076 or [Confidential Information]
