Associate Director- RCM

Annova Solutions India; Indore District; On-site; INR 1,200,000 - 2,000,000; Full time

Job summary

Annova Solutions India is seeking an experienced Revenue Cycle Management professional to expand our Provider RCM practice. The role requires expertise in AR follow-up, denials management, and revenue recovery, with strong analytical and client-facing capabilities.

You will develop models, KPIs, and operating approaches while collaborating with operations and business development teams to drive efficiency and value.

Qualifications

• 8–10+ years of US Healthcare Revenue Cycle Management experience.
• Hands-on AR follow-up, denials, claims management, and revenue recovery.
• Strong Excel skills; BI/analytics tools preferred.
• Excellent client-facing communication and presentation skills.

Responsibilities

• Lead and support RCM operations across AR, denials management, and claims follow-up.
• Independently analyze ATB/AR inventory by aging, payer, balance, denial category, claim status, and location.
• Identify collectability and liquidation opportunities within AR portfolios.
• Develop revenue recovery models estimating collectible dollars, timelines, staffing, productivity, and ROI.
• Segment inventory and tailor work strategies by age, balance, payer, denial type, and recovery likelihood.

Skills

AR follow-up

denials management

claims management

revenue recovery

data analysis

client-facing

solution design

Excel

BI/analytics

team management

Job description

Job Description:

Role Overview

Annova Solutions is looking for an experienced Revenue Cycle Managementprofessional to play a key role in expanding our Provider RCM practice. This positionrequires a strong combination of RCM operations expertise, analytical capability,client-facing skills, and solution design experience.The ideal candidate should be able to independently review an ATB/AR file, understandthe composition and quality of the inventory, identify revenue recoveryopportunities, and develop actionable recovery strategies and operating models.This individual will also serve as an RCM Subject Matter Expert (SME) in clientdiscussions, solution sessions, due diligence, and new business pursuits as Annovascales its RCM service line.

Key Responsibilities

• Lead and support RCM operations across areas such as Accounts Receivable,Denials Management, Claims Follow-up, Underpayments, PaymentVariance, Billing and Revenue Recovery.
• Independently analyze ATB/AR inventory by aging, payer, balance, denialcategory, claim status, specialty, location and other relevant dimensions.
• Identify collectability, liquidation opportunities, high-value inventory, denialtrends and root causes within AR portfolios.
• Develop revenue recovery models that estimate collectible dollars, recoverytimelines, staffing requirements, productivity, cost-to-collect and expected ROI.
• Segment inventory and develop differentiated work strategies based on age,balance, payer, denial type, likelihood of recovery and financial impact.
• Establish operational KPIs including AR days, aging distribution, denial rates,net collection rate, cash collections, productivity, quality, liquidation rateand cost-to-collect.
• Identify opportunities for automation, analytics, workflow optimization andAI-enabled interventions across the revenue cycle.
• Serve as the RCM SME during client meetings, confidently discussingoperational challenges, performance improvement opportunities and proposedsolutions with client leadership.
• Participate in new business pursuits, discovery sessions, RFPs, solutiondesign, due diligence and presentations.
• Translate client data and operational challenges into a compelling businesscase, staffing model, transition approach and value proposition.
• Help develop Annovas RCM capabilities, including SOPs, operating models,productivity benchmarks, solution frameworks, governance structures andbest practices.
• Support transition and stabilization of new RCM engagements and work closelywith Operations, Analytics, Technology and Business Development teams

Requirements

• 8–10+ years of experience in US Healthcare Revenue Cycle Management,preferably within healthcare BPO, provider operations, consulting or RCMservices.
• Strong hands-on experience in AR follow-up, denials, claims management andrevenue recovery.
• Demonstrated ability to analyze large ATB/AR datasets and convert the analysisinto actionable recovery strategies.
• Strong understanding of payer behavior, claim lifecycle, denial categories,aging, timely filing, appeals and reimbursement processes.
• Ability to develop revenue recovery forecasts, staffing models, productivityassumptions and financial/business cases.
• Strong analytical skills with advanced proficiency in Excel; experience withBI/analytics tools is preferred.
• Strong understanding of RCM operational metrics and industry benchmarks.
• Excellent client-facing communication and presentation skills, with the abilityto operate as a credible SME with senior client stakeholders.
• Experience supporting solution, pre-sales, RFPs or new client pursuits ishighly desirable.
• Ability to move comfortably between detailed operational analysis andexecutive-level conversations.
• Experience managing teams and driving operational performance in a metricsdriven environment.