Supervisor RCMS

Qualifacts; Vadodara; On-site; INR 1,200,000 - 1,800,000; Full time

Job summary

Qualifacts is seeking an experienced Operations Manager in Vadodara to supervise the Charges team, optimize billing workflows, and ensure client satisfaction. The role emphasizes onboarding new customers, coordinating cross-functional teams, and driving continuous process improvements.

The ideal candidate will have healthcare admin experience, strong leadership, and a proven track record in revenue cycle management.

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Life Sciences, or a related field.
• 5-8 years of experience in Medical Billing/Revenue Cycle Management.
• Minimum 2 years of supervisory or team lead experience in a Charges or Billing function.
• Experience in customer onboarding and client relationship management.
• Strong understanding of charge entry, claim creation, payer requirements, and healthcare billing workflows.
• Experience working with behavioral health or ambulatory care practices is preferred.

Responsibilities

• Supervise the day-to-day activities of the Charges team to ensure productivity, accuracy, and turnaround time (TAT) goals are achieved.
• Monitor charge entry, claim generation, and work queues to ensure timely claim submission.
• Review operational metrics and implement action plans to improve performance.
• Ensure compliance with payer guidelines, client requirements, and organizational SOPs.
• Conduct regular quality audits and identify process improvement opportunities.
• Prepare and present daily, weekly, and monthly operational reports.
• Act as the primary operational point of contact for assigned clients.
• Conduct regular client meetings to review operational performance, discuss concerns, and provide updates.
• Build and maintain strong customer relationships through proactive communication.
• Resolve client escalations by coordinating with internal stakeholders and providing timely resolutions.
• Identify opportunities to improve client satisfaction and operational efficiency.
• Lead the operational onboarding of new customers and practices.
• Coordinate with Configuration, Credentialing, IT, Eligibility, Claims, AR, and other internal teams to ensure a smooth transition.
• Develop and maintain onboarding plans, implementation timelines, and go-live checklists.
• Validate workflows, billing guidelines, payer configurations, and documentation before production go-live.
• Conduct onboarding calls, process walkthroughs, and user training sessions where required.
• Ensure all onboarding milestones are completed within agreed timelines.
• Lead, mentor, and coach team members to achieve individual and team objectives.
• Conduct regular performance reviews, feedback sessions, and skill development activities.
• Assist in recruitment, onboarding, and training of new team members.
• Promote a culture of accountability, collaboration, and continuous improvement.
• Identify operational gaps and recommend automation or process enhancements.
• Collaborate with Quality, MIS, and technical teams to improve workflows.
• Drive initiatives to reduce rework, improve first-pass acceptance rates, and enhance operational efficiency.
• Participate in client implementation and process transformation projects.

Skills

Customer communication

Stakeholder management

Project coordination

Analytical thinking

Implementation management

Medical billing software

Excel/PowerPoint

Leadership & coaching

Deadlines oriented

Education

Bachelor's degree in Healthcare Administration, Business Administration, Life Sciences, or related field

Tools

CareLogic

Credible

InSync

Job description

Job Description:

Job Description:

Key Responsibilities

Operations Management

• Supervise the day-to-day activities of the Charges team to ensure productivity, accuracy, and turnaround time (TAT) goals are achieved.
• Monitor charge entry, claim generation, and work queues to ensure timely claim submission.
• Review operational metrics and implement action plans to improve performance.
• Ensure compliance with payer guidelines, client requirements, and organizational SOPs.
• Conduct regular quality audits and identify process improvement opportunities.
• Prepare and present daily, weekly, and monthly operational reports.

Customer Interaction & Relationship Management

• Act as the primary operational point of contact for assigned clients.
• Conduct regular client meetings to review operational performance, discuss concerns, and provide updates.
• Build and maintain strong customer relationships through proactive communication.
• Resolve client escalations by coordinating with internal stakeholders and providing timely resolutions.
• Identify opportunities to improve client satisfaction and operational efficiency.

Customer Onboarding

• Lead the operational onboarding of new customers and practices.
• Coordinate with Configuration, Credentialing, IT, Eligibility, Claims, AR, and other internal teams to ensure a smooth transition.
• Develop and maintain onboarding plans, implementation timelines, and go-live checklists.
• Validate workflows, billing guidelines, payer configurations, and documentation before production go-live.
• Conduct onboarding calls, process walkthroughs, and user training sessions where required.
• Ensure all onboarding milestones are completed within agreed timelines.

Team Leadership

• Lead, mentor, and coach team members to achieve individual and team objectives.
• Conduct regular performance reviews, feedback sessions, and skill development activities.
• Assist in recruitment, onboarding, and training of new team members.
• Promote a culture of accountability, collaboration, and continuous improvement.

Process Improvement

• Identify operational gaps and recommend automation or process enhancements.
• Collaborate with Quality, MIS, and technical teams to improve workflows.
• Drive initiatives to reduce rework, improve first-pass acceptance rates, and enhance operational efficiency.
• Participate in client implementation and process transformation projects.

Required Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Life Sciences, or a related field.
• 5-8 years of experience in Medical Billing/Revenue Cycle Management.
• Minimum 2 years of supervisory or team lead experience in a Charges or Billing function.
• Experience in customer onboarding and client relationship management.
• Strong understanding of charge entry, claim creation, payer requirements, and healthcare billing workflows.
• Experience working with behavioral health or ambulatory care practices is preferred.

Required Skills

• Strong customer communication and presentation skills.
• Excellent stakeholder management and relationship-building abilities.
• Project coordination and implementation experience.
• Strong analytical and problem-solving skills.
• Ability to manage multiple customer implementations simultaneously.
• Knowledge of medical billing software, EHR/PM systems, and clearinghouses.
• Advanced proficiency in Microsoft Excel, PowerPoint, and reporting tools.
• Strong leadership, coaching, and conflict-resolution skills.
• Ability to work in a fast-paced, deadline-driven environment.

Preferred Experience

• Experience with customer onboarding and implementation projects.
• Exposure to workflow documentation, SOP creation, and process mapping.
• Experience working with behavioral health EHRs such as CareLogic, Credible, InSync, or similar platforms is preferred.
• Knowledge of claim edits, payer-specific billing requirements, and denial prevention strategies.

Key Performance Indicators (KPIs)

• Charge Entry Accuracy
• Turnaround Time (TAT)
• First-Pass Claim Acceptance Rate
• Productivity and SLA Compliance
• Client Satisfaction Score (CSAT)
• Successful Onboarding and Go-Live Timelines
• Quality Audit Scores
• Team Engagement and Performance Metrics
• Escalation Resolution Time
• Process Improvement Initiatives Delivered

Core Competencies

• Customer Focus
• Leadership
• Operational Excellence
• Strategic Thinking
• Communication
• Accountability
• Team Development
• Problem Solving
• Collaboration
• Continuous Improvement

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Requirements: