Senior Manager (DME)

Knack RCM; Mohali; On-site; INR 1,200,000 - 1,700,000; Full time

Job summary

Knack RCM is seeking a Senior Manager to lead end-to-end DME Billing Operations in Mohali. You will drive revenue cycle performance, oversee AR management, denials, and payer-specific compliance while building high-performing teams.

The role requires 10–15 years in US Healthcare RCM, with a strong track record in DME billing, AR optimization, and client management, guiding strategic initiatives and operational excellence.

Qualifications

• 10–15 years of experience in US Healthcare Revenue Cycle Management.
• Minimum 5–7 years of experience managing DME Billing and AR Operations.
• Experience leading large teams and driving process improvements.

Responsibilities

• Lead end-to-end DME Billing operations incl. Billing, AR Follow-up, Denial Management, Appeals, and Posting.
• Oversee AR portfolios across Medicare, Medicaid and Commercial Payers; monitor metrics to improve collections.
• Drive process improvements, governance, and client satisfaction through MBRs/QBRs and dashboards.
• Mentor and develop senior managers, create staffing plans and succession pipelines.
• Ensure compliance with payer guidelines, HIPAA, and data security.

Skills

DME Billing

AR Management

Denial Management

Medicare/Medicaid Billing

Commercial Payer Management

Revenue Recovery

Client Relationship Management

Education

MBA / PGDM

Healthcare Management

Hospital Administration

Business Management

Lean Six Sigma

Job description

Senior Manager – DME Billing Operations

Location: Mohali

Experience: 10–15 Years

POSITION SUMMARY

We are seeking an experienced and results-driven Senior Manager – DME Billing Operations to lead and manage end-to-end Durable Medical Equipment (DME) Revenue Cycle Operations. The role is responsible for driving operational excellence, maximizing collections, improving AR performance, ensuring client satisfaction, and developing high-performing teams.

The ideal candidate will possess strong expertise in DME Billing, Accounts Receivable Management, Denial Management, Medicare/Medicaid Guidelines, Commercial Payer Processes, Client Management, and Team Leadership.

The incumbent will play a critical role in driving operational efficiency, revenue optimization, process improvements, and organizational growth.

KEY RESPONSIBILITIES

Operations Management

• Lead end-to-end DME Billing operations, including Billing, AR Follow-up, Denial Management, Appeals, and Payment Posting.
• Drive productivity, quality, accuracy, and financial performance across DME operations.
• Monitor operational KPIs and implement action plans to achieve client and organizational goals.
• Ensure timely claim submission and effective AR management to maximize collections.
• Analyze operational trends and identify opportunities for process improvement and revenue enhancement.
• Drive operational governance through regular reviews, performance dashboards, and reporting mechanisms.

Accounts Receivable & Revenue Cycle Management

• Oversee DME AR portfolios across Medicare, Medicaid, and Commercial Payers.
• Monitor AR aging and drive initiatives to improve collections and reduce outstanding receivables.
• Lead denial management and appeals processes to optimize recoveries.
• Track and manage key AR metrics including:
  1. AR Aging
  2. Collection Effectiveness
  3. Days in AR
  4. Denial Rate
  5. Recovery Rate
  6. Productivity Metrics
  7. Net Collection Ratio
• Conduct root cause analysis on denials and implement preventive actions.
• Ensure compliance with payer-specific billing requirements and reimbursement guidelines.

Client & Stakeholder Management

• Serve as a key operational contact for client engagements and escalations.
• Participate in Monthly Business Reviews (MBRs) and Quarterly Business Reviews (QBRs).
• Present operational performance, collection trends, and process improvement initiatives.
• Build and maintain strong relationships with clients and internal stakeholders.
• Ensure adherence to client SLAs, KPIs, and contractual commitments.
• Collaborate with Quality, Training, Reporting, HR, and Technology teams to achieve operational objectives.

Leadership & People Management

• Lead, mentor, and develop Managers, Assistant Managers, Team Leads, and AR Specialists.
• Manage workforce planning, staffing, capacity management, and resource allocation.
• Conduct performance reviews, coaching sessions, and development programs.
• Drive employee engagement, retention, and succession planning initiatives.
• Foster a culture of accountability, collaboration, innovation, and continuous improvement.
• Build leadership capability within the organization through ongoing mentoring and development.

Process Excellence & Transformation

• Identify process improvement and automation opportunities across DME operations.
• Drive Lean, Six Sigma, and operational excellence initiatives.
• Implement best practices to improve productivity, quality, and collection outcomes.
• Support process transitions, migrations, and business expansion initiatives.
• Partner with technology teams to enhance workflow efficiency and reporting capabilities.
• Establish standardized operating procedures and governance frameworks.

Compliance & Risk Management

• Ensure adherence to Medicare, Medicaid, Commercial Payer, HIPAA, and client-specific requirements.
• Maintain operational compliance and audit readiness.
• Identify operational risks and implement mitigation strategies.
• Ensure data security, confidentiality, and regulatory compliance across all processes.

EDUCATIONAL QUALIFICATIONS

• Graduate in any discipline
• Preferred:
  1. MBA / PGDM
  2. Healthcare Management
  3. Hospital Administration
  4. Business Management
• Certifications in Healthcare Revenue Cycle Management, Lean Six Sigma, or related areas will be an added advantage.

DESIRED CANDIDATE PROFILE

• 10–15 years of experience in US Healthcare Revenue Cycle Management.
• Minimum 5–7 years of experience managing DME Billing and Accounts Receivable Operations.
• Strong expertise in:
  1. DME Billing
  2. Accounts Receivable Management
  3. AR Follow-up
  4. Denial Management
  5. Appeals & Reconsiderations
  6. Medicare & Medicaid Billing
  7. Commercial Insurance Billing
  8. Revenue Recovery & Collections
• Experience managing large teams of 400+ FTEs.
• Proven track record of improving collections, reducing AR aging, and enhancing operational performance.
• Strong understanding of payer reimbursement methodologies and DME workflows.
• Excellent analytical, communication, presentation, and client management skills.
• Demonstrated success in leading high-performing teams and delivering client satisfaction.
• Strong people leadership and organizational development capabilities.

KEY COMPETENCIES

• DME Revenue Cycle Management
• Accounts Receivable Management
• Denial & Appeals Management
• Medicare & Medicaid Expertise
• Commercial Payer Management
• Revenue Optimization
• Client Relationship Management
• People Leadership
• Operational Excellence
• Process Improvement
• Strategic Thinking
• Stakeholder Management
• Performance Management
• Team Building & Talent Development
• Change Management
• Financial & Business Acumen