Assistant Manager DME Billing RCM

Knack RCM; Jaipur; On-site; INR 1,800,000 - 4,000,000; Full time

Job summary

Knack RCM is seeking an experienced Operations Leader to oversee end-to-end US Healthcare Revenue Cycle Management, with a focus on DME billing. You will lead teams, coordinate with clients, and drive process improvements to maximize collections and ensure service levels.

The role demands 8–12 years in US RCM, strong leadership, stakeholder management, and a track record of improving performance and revenue outcomes.

Qualifications

• 8-12 years of experience in US Healthcare Revenue Cycle Management.
• Minimum 3-5 years of experience in DME Billing Operations.
• Minimum 2 years of experience managing Team Leads and operational teams.
• Experience handling teams of 35-85+ FTEs.
• Strong understanding of DME Billing, AR, Denial Management, Payment Posting, Appeals Management, Medicare & Medicaid, Commercial Payer Guidelines, and Revenue Cycle Management.
• Strong client management and stakeholder management experience.
• Excellent communication, analytical, and leadership skills.
• Proven track record of improving operational performance, collections, and revenue outcomes.

Responsibilities

• Manage end-to-end DME Billing operations and ensure productivity, quality, collections, and financial targets.
• Oversee Billing, AR Follow-up, Denial Management, Payment Posting, and Appeals functions.
• Monitor operational KPIs, SLAs, and performance metrics.
• Drive process improvements to enhance efficiency and service delivery.
• Ensure timely claim submission and maximize collections through effective AR management.
• Analyze operational performance and implement corrective action plans.

Skills

Leadership

Team Management

Stakeholder Management

Process Improvement

Analytics

Communication

Education

MBA or Healthcare Management

Tools

Lean Six Sigma

RCM Software

Job description

Role & responsibilities

Operations Management

• Manage end-to-end DME Billing operations and ensure achievement of productivity, quality, collections, and financial targets.
• Oversee Billing, AR Follow-up, Denial Management, Payment Posting, and Appeals functions.
• Monitor operational KPIs, SLAs, and performance metrics.
• Drive process improvements to enhance operational efficiency and service delivery.
• Ensure timely claim submission and maximize collections through effective AR management.
• Analyze operational performance and implement corrective action plans.

Team Leadership & People Management

• Lead, mentor, and develop Team Leads, Senior Associates, and Billing Specialists.
• Manage workforce planning, capacity utilization, and resource allocation.
• Conduct performance reviews, coaching, and development programs.
• Drive employee engagement and retention initiatives.
• Build succession plans and create future leaders within operations.
• Foster a performance-driven and collaborative work culture.

Client & Stakeholder Management

• Act as a key point of contact for internal stakeholders and client interactions.
• Present operational reviews, productivity reports, collection performance, and improvement plans.
• Ensure adherence to client SLAs, KPIs, and contractual commitments.
• Manage client escalations and ensure timely resolution.
• Collaborate with Quality, Training, HR, Reporting, and Support teams.

Revenue Cycle Management

• Drive initiatives to improve collections and reduce AR aging.
• Monitor denial trends and implement effective recovery strategies.
• Ensure compliance with Medicare, Medicaid, HIPAA, and Commercial Payer guidelines.
• Review root causes of denials and implement corrective action plans.
• Monitor reimbursement trends and identify opportunities for revenue enhancement.

Process Excellence

• Identify and implement automation and workflow optimization opportunities.
• Participate in client transitions, process migrations, and new implementations.
• Drive Lean, Six Sigma, and operational excellence initiatives.
• Standardize processes and implement best practices across teams.
• Support continuous improvement and transformation projects.

Preferred candidate profile

Mandatory Requirements

• 8-12 years of experience in US Healthcare Revenue Cycle Management.
• Minimum 3-5 years of experience in DME Billing Operations.
• Minimum 2 years of experience managing Team Leads and operational teams.
• Experience handling teams of 35-85+ FTEs.
• Strong understanding of
  DME Billing
  Accounts Receivable (AR)
  Denial Management
  Payment Posting
  Appeals Management
  Medicare & Medicaid Billing
  Commercial Payer Guidelines
  Revenue Cycle Management
• Strong client management and stakeholder management experience.
• Excellent communication, analytical, and leadership skills.
• Proven track record of improving operational performance, collections, and revenue outcomes.

Educational Qualifications

• UG: Any Graduate
• Preferred: MBA, PGDM, Healthcare Management, Equivalent Postgraduate Qualification

Additional Advantage

• Revenue Cycle Management Certifications
• Lean Six Sigma Certification .