SME/ Process Specialist - RCM

Huron Consulting Group Inc.; Bengaluru; On-site; INR 1,200,000 - 2,400,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

401(k) plan with employer match

Employee stock purchase plan

Paid time off

Job summary

Huron Consulting Group is hiring for an RCM SME to lead a team of 15–20 FTEs and own RCM metrics, reporting and client communications from Bengaluru. The role requires deep knowledge of Billing, AR, Denial Management, and Excel-based reporting to leadership.

We seek a Graduate with 5+ years in RCM, strong analytical and communication skills, and a willingness to work night shifts aligned with US timings. Lean Six Sigma certification is a plus and exposure to Lean practices is desirable.

Qualifications

• 5+ years of industry experience.
• 3+ year Experience in relevant billing functions is a must.
• Proficient in MS Excel and creating Excel macros.
• Strong ability to analyze raw data, draw conclusions and develop actionable recommendations.
• Ability to handle multiple tasks of reporting simultaneously.
• Ability to adapt quickly to new and changing technical environments as well as strong analytical, problem solving and quantitative abilities.
• Solid verbal and written communication skills are required.
• Education/Certifications: Graduate.
• Lean Six Sigma certification can be an added advantage.

Responsibilities

• Lead a team of 15–20 FTEs and allocate work.
• Oversee Billing, Cash Posting, Credit Balance, AR, Denial Management.
• Monitor and report RCM metrics like Days in AR and ageing.
• Review performance and suggest improvement plans.
• Prepare daily, weekly & monthly operation reports from PMS and workflow tool using MS-Excel.
• Identify trends and propose actions to resolve AR issues.
• Maintain daily operational scorecards and assist in capacity planning.
• Generate and distribute management reports in a timely manner.
• Interact effectively with the client and support US night shifts.

Skills

Team leadership

RCM processes

RCM metrics

Performance review

Excel reporting

Data analysis

Client interaction

Night shift readiness

Education

Graduate

Lean Six Sigma certification

Tools

MS Excel

Excel Macros

Job description

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future.

As a RCM SME, you will be responsible for team handling, work allocation, client interactions and generate, and distribute RCM metrics reports to the leadership team. Excellent communication skills, attention to detail, and strong technical and problem-solving skills are essential aspects of this role.

Job Description

• Experience in handling a team / group of 15 to 20 FTEs
• Thorough understanding of RCM processes like Billing, Cash Posting, Credit Balance, Accounts Receivables, Denial Management & Correspondence review
• Very good understanding of RCM metrics like Days in AR, Ageing above 90 days, Collections and bad debt
• Periodically review teams performance and recommend performance improvement plan wherever required
• Hands on in preparing daily, weekly & monthly operational metrics reports from the Practice Management/Billing System and workflow tool using MS-Excel
• Identify trends and patterns from the generated reports and initiate action plan to resolve the AR issues
• Responsible for work allocation / distribution to the team and monitor the team work
• Create and maintain daily operational scorecards to track and report KPI’s; assist in volume forecast and capacity planning as required
• Generate and distribute management reports in accurate and timely manner
• Perform data analysis for generating reports on periodic basis including adhocs
• Establish a strong relationship with Team Managers by demonstrating the gaps, trends & patterns identified during the data/report compilation
• Suggest ways of improving the process using Lean Six Sigma methodology and suggesting automation of repetitive processes
• Able to interact with the client effectively
• Willing to work in night shift / US timings

QUALIFICATIONS:

• 5+ years of industry experience
• 3+ year Experience in relevant billing functions is a must
• Proficient in MS Excel and creating Excel macros
• Strong ability to analyze raw data, draw conclusions and develop actionable recommendations
• Ability to handle multiple tasks of reporting simultaneously
• Ability to adapt quickly to new and changing technical environments as well as strong analytical, problem solving and quantitative abilities.
• Solid verbal and written communication skills are required.
• Education/Certifications: Graduate
• Any quality related certifications like Lean Six Sigma can be an added advantage

Position Level Associate Country India

At Huron, we’re redefining what a consulting organization can be. We go beyond advice to deliver results that last. We inherit our client’s challenges as if they were our own. We help them transform for the future. We advocate. We make a difference. And we intelligently, passionately, relentlessly do great work…together. Are you the kind of person who stands ready to jump in, roll up your sleeves and transform ideas into action? Then come discover Huron. Whether you have years of experience or come right out of college, we invite you to explore our many opportunities. Find out how you can use your talents and develop your skills to make an impact immediately. Learn about how our culture and values provide you with the kind of environment that invites new ideas and innovation. Come see how we collaborate with each other in a culture of learning, coaching, diversity and inclusion. And hear about our unwavering commitment to make a difference in partnership with our clients, shareholders, communities and colleagues.

Huron Consulting Group offers a competitive compensation and benefits package including medical, dental, and vision coverage to employees and dependents; a 401(k) plan with a generous employer match; an employee stock purchase plan; a generous Paid Time Off policy; and paid parental leave and adoption assistance.

All benefits and programs are subject to applicable eligibility requirements.

Huron is fully committed to providing equal employment opportunity to job applicants and employees in recruitment, hiring, employment, compensation, benefits, promotions, transfers, training, and all other terms and conditions of employment. Huron will not discriminate on the basis of age, race, color, gender, marital status, sexual orientation, gender identity, pregnancy, national origin, religion, veteran status, physical or mental disability, genetic information, creed, citizenship or any other status protected by laws or regulations in the locations where we do business. We endeavor to maintain a drug-free workplace.