Role & responsibilities

Operations Management

- Manage end-to-end DME Billing operations and ensure achievement of productivity, quality, collections, and financial targets.
- Oversee Billing, AR Follow-up, Denial Management, Payment Posting, and Appeals functions.
- Monitor operational KPIs, SLAs, and performance metrics.
- Drive process improvements to enhance operational efficiency and service delivery.
- Ensure timely claim submission and maximize collections through effective AR management.
- Analyze operational performance and implement corrective action plans.

Team Leadership & People Management

- Lead, mentor, and develop Team Leads, Senior Associates, and Billing Specialists.
- Manage workforce planning, capacity utilization, and resource allocation.
- Conduct performance reviews, coaching, and development programs.
- Drive employee engagement and retention initiatives.
- Build succession plans and create future leaders within operations.
- Foster a performance-driven and collaborative work culture.

Client & Stakeholder Management

- Act as a key point of contact for internal stakeholders and client interactions.
- Present operational reviews, productivity reports, collection performance, and improvement plans.
- Ensure adherence to client SLAs, KPIs, and contractual commitments.
- Manage client escalations and ensure timely resolution.
- Collaborate with Quality, Training, HR, Reporting, and Support teams.

Revenue Cycle Management

- Drive initiatives to improve collections and reduce AR aging.
- Monitor denial trends and implement effective recovery strategies.




- Ensure compliance with Medicare, Medicaid, HIPAA, and Commercial Payer guidelines.
- Review root causes of denials and implement corrective action plans.
- Monitor reimbursement trends and identify opportunities for revenue enhancement.

Process Excellence

- Identify and implement automation and workflow optimization opportunities.
- Participate in client transitions, process migrations, and new implementations.
- Drive Lean, Six Sigma, and operational excellence initiatives.
- Standardize processes and implement best practices across teams.
- Support continuous improvement and transformation projects.

Preferred candidate profile

Mandatory Requirements

8-12 years of experience in US Healthcare Revenue Cycle Management.

Minimum 3-5 years of experience in DME Billing Operations.

Minimum 2 years of experience managing Team Leads and operational teams.

Experience handling teams of 35-85+ FTEs.

Strong understanding of:

- DME Billing
- Accounts Receivable (AR)
- Denial Management
- Payment Posting
- Appeals Management
- Medicare & Medicaid Billing
- Commercial Payer Guidelines
- Revenue Cycle Management

Solid client management and stakeholder management experience.

Excellent communication, analytical, and leadership skills.

Proven track record of improving operational performance, collections, and revenue outcomes.

Educational Qualifications

UG: Any Graduate

Preferred:

- MBA
- PGDM
- Healthcare Management
- Equivalent Postgraduate Qualification

Additional Advantage:

- Revenue Cycle Management Certifications
- Lean Six Sigma Certification

📌 Assistant Manager DME Billing RCM (Rajasthan)
🏢 Knack RCM
📍 Rajasthan