Associate Director - RCM - Operations

Prochant

Thiruvananthapuram

Vor Ort

INR 3.000.000 - 6.000.000

Vollzeit

Vor 4 Tagen
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Zusammenfassung

Prochant is seeking an Associate Director (RCM) to oversee end-to-end US healthcare revenue cycle operations from intake to AR. The leader will drive performance, client governance, and cross-functional collaboration across multiple clients in India.

The role requires 15+ years in US healthcare RCM and 7+ years in leadership, with a focus on process improvement, automation, and strategic alignment with senior leadership.

Qualifikationen

  • 15+ years of US healthcare RCM operations experience.
  • 7+ years in leadership roles managing managers and large delivery teams.
  • Graduate / Postgraduate in any discipline.

Aufgaben

  • Lead endtoend RCM operations for multiple US healthcare clients.
  • Oversee intake accuracy, eligibility verification, benefits verification, prior authorization, billing, and AR followup.
  • Ensure timely handling of referrals, claim submissions, and collections with strict SLA and TAT adherence.
  • Drive crossfunctional coordination across Intake, EV, PA, Billing, and AR teams to maximize firstpass yield.
  • Act as senior escalation point for client issues across the RCM spectrum.
  • Build strong client partnerships through proactive communication and governance.
  • Drive continuous improvement in clean claim rates and denial prevention.
  • Standardize processes and SOPs across the RCM lifecycle.
  • Lead automation initiatives (payer portals, RPA, workflow tools) to improve productivity and reduce costs.
  • Track payer policy changes and ensure readiness across all RCM functions.
  • Mentor and develop senior managers, managers, and team leaders across intake, billing, and AR.

Kenntnisse

RCM lifecycle
Medicare/Medicaid/Commercial rules
Leadership of large teams
Client engagement & exec comms
Process improvement & automation
Strategic decision making

Ausbildung

Graduate / Postgraduate in any discipline

Jobbeschreibung

Associate Director (RCM)

Prochant is seeking a highly experienced RCM leader to oversee complete revenue cycle operations across intake, eligibility verification, prior authorization, billing, and accounts receivable. This senior leadership role will ensure seamless patient onboarding, payer compliance, claim accuracy, and denial prevention across the full RCM continuum.

Key Responsibilities:
Operational Leadership
  • Lead endtoend RCM operations for multiple US healthcare clients.
  • Oversee intake accuracy, eligibility validation, benefits verification, prior authorization, billing, and AR followup.
  • Ensure timely handling of referrals, claim submissions, and collections with strict SLA and TAT adherence.
  • Drive crossfunctional coordination across Intake, EV, PA, Billing, and AR teams to maximize firstpass yield.
Delivery Excellence & Client Management
  • Ensure consistent delivery against SLAs, KPIs, quality benchmarks, and compliance standards.
  • Act as a senior escalation point for client issues across the RCM spectrum.
  • Build strong client partnerships through proactive communication and governance.
  • Drive continuous improvement in clean claim rates and denial prevention.
Process Improvement & Automation
  • Standardize processes and SOPs across the RCM lifecycle.
  • Lead automation initiatives (payer portals, RPA, workflow tools) to improve productivity and reduce costs.
  • Track payer policy changes and ensure readiness across all RCM functions.
People & Leadership Development
  • Mentor and develop senior managers, managers, and team leaders across intake, billing, and AR.
  • Build a strong leadership pipeline through structured training and succession planning.
  • Ensure continuous skill upgradation aligned with payer rules and regulatory updates.
Strategic Alignment
  • Partner with senior leadership to align RCM operations with organizational strategy and growth.
  • Support new client onboarding, volume rampups, and service line expansions.
Key Skills & Competencies
  • Deep expertise across the full RCM lifecycle (Intake, EV, PA, Billing, AR).
  • Strong understanding of Medicare, Medicaid, and Commercial payer rules.
  • Proven experience managing largescale operations (300 plus FTEs preferred).
  • Excellent client engagement, stakeholder management, and executive communication skills.
  • Track record in process improvement, automation, and operational transformation.
  • Strategic mindset with strong decisionmaking and people leadership capabilities.
Qualifications :
  • Graduate / Postgraduate in any discipline.
  • 15+ years of overall US healthcare RCM operations experience.
  • 7+ years in leadership roles managing managers and large delivery teams.
Why Join Prochant:
  • Senior leadership role in a fast growing US healthcare RCM organization.
  • Opportunity to own and shape endtoend RCM strategy at scale.
  • Exposure to technologyled transformation and automation.
  • Work from DLF Cybercity, Chennai, Prochants primary India delivery hub.
  • Collaborative culture with strong focus on leadership impact and career growth.
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