Apply on Kit Job: kitjob.in/job/47rynq

About Triple
Triple is leading the way in remote work solutions, helping small and medium-sized businesses in North America build highly efficient remote teams for Administration, Customer Service, Accounting, Operations, and back-office roles. Our focus has always been on our Clients, People, and Planet, ensuring our operations contribute positively across these key areas. Distinguished by its rigorous standards, Triple excels in:

Selectively recruiting the top 1% of industry professionals
Delivering in-depth training to ensure peak performance
Offering superior account management for seamless operations
Embrace unparalleled professionalism and efficiency with Triple, where we redefine the essence of remote hiring.
Role Overview
We are hiring a Revenue Cycle Management (RCM) Leader who will function as the Category Head for our Prior Authorization division.
This is a high-ownership, high-visibility leadership role responsible for:
End-to-end delivery across Prior Auth Vertical
Leading and scaling a 10–15-member team
Owning client onboarding and implementation
Participating in new client meetings
Translating client expectations into execution frameworks
Driving performance, quality, and revenue outcomes You will not just manage operations — you will architect and scale them.
Core Responsibilities
Prior Authorization Category Leadership
Own the overall performance of the Prior Authorization vertical at Triple
Ensure SLAs, KPIs, quality benchmarks, and revenue metrics are met
Drive accountability across the Prior Auth team
Build scalable SOPs and performance frameworks
New Client Acquisition & Onboarding
This is a critical component of the role.
Participate in discovery calls and new client meetings
Understand specialty, payer mix, volume, workflows, and existing pain points
Conduct operational requirement assessments
Design customized onboarding and transition plans
Estimate staffing needs and skill allocation




Define the training roadmap before go-live
Oversee the implementation and stabilization phase
Ensure smooth handoff from sales to operations You will be the operational brain in client onboarding.

Team Leadership & Capability Building
Lead and mentor 10–15 remote RCM professionals
Set clear performance KPIs and output expectations
Conduct regular audits and feedback reviews
Create training modules and upskilling programs
Develop team leads and future managers
Build a high-accountability, high-performance culture
Client Communication & Relationship Management
Act as the senior operational point of contact
Present performance dashboards and insights
Conduct quarterly business reviews
Handle escalations with structured resolution plans
Build long-term trust with US healthcare clients
Compliance & Quality Oversight
Supervise HEDIS and compliance frameworks
Ensure HIPAA adherence and payer guideline alignment
Monitor denial trends and first-pass acceptance rates
Conduct periodic quality audits
Maintain documentation standards
Good to Have (Not Mandatory)
Experience scaling RCM operations from 10 → 50+ team members
Multi-specialty practice exposure
Experience in client transitions or new practice setups
Required Qualifications
• 6+ years of US Healthcare RCM Prior Auth experience
• 3+ years in a leadership/managerial role
• Deep understanding of:
Prior Authorization workflows
Medical Billing lifecycle
• Proven experience managing teams of 15+ members
• Strong analytical and operational planning skills
• Experience participating in client onboarding or implementations
Schedule (US Shifts Only)
Eastern Time - 6:30 p.m. - 3:30 a.m. IST, Monday - Friday
Pacific Time - 9:30 p.m. - 6:30 a.m. IST, Monday - Friday
Logistical Requirements
Quiet and brightly illuminated work workplace
Laptop with a minimum of 8 GB RAM, an i5 8th-gen processor
720 P Webcam and Headset
A reliable ISP with a minimum speed of 100 Mbps
Smartphone

Apply on Kit Job: kitjob.in/job/47rynq

📌 Revenue cycle manager (prior authorization) (Gurugram)
🏢 Triple
📍 Gurugram