SME/ Process Specialist - RCM

Huron; Chennai; On-site; INR 900,000 - 1,200,000; Full time

Job summary

Huron is seeking a RCM SME/Process Specialist in Chennai to lead a team of 15–20 FTEs and optimize revenue cycle management processes. You will oversee Billing, Cash Posting, AR and Denial Management, while delivering accurate metrics and actionable insights to leadership.

The role requires strong MS Excel skills, data analysis capabilities, and experience in producing daily/weekly/monthly reports. Night shifts/US timings may apply, with focus on delivering client value.

Qualifications

• 5+ years of industry experience.
• 3+ years 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 reporting tasks simultaneously and adapt to changing environments.

Responsibilities

• Experience in handling a team / group of 15 to 20 FTEs.
• Thorough understanding of RCM processes like Billing, Cash Posting, Credit Balance, AR, Denial Management & Correspondence review.
• Prepare daily, weekly & monthly operational metrics reports from Practice Management/Billing System using MS-Excel.
• Identify trends from reports and initiate action to resolve AR issues.
• Create and maintain daily operational scorecards to track KPI and assist in capacity planning.
• Interact with clients effectively and support leadership with data-driven insights.

Skills

Team leadership

RCM metrics

Data analysis

Problem solving

Attention to detail

Communication

Education

Graduate in any discipline

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/ Process Specialist, you will be responsible for team handling, work allocation, client interactions and generate, 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 DETAILS:

• 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 simultaneouslyAbility 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 in any disclipline.

Position Level Associate Country India

This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.