05 Aug
|
LogixHealth
|
Tamil Nadu
05 Aug
LogixHealth
Tamil Nadu
About the Role
LogixHealth Solutions Pvt Ltd is looking for an experienced and dynamic Senior Manager – RCM (Quality & Operations) to lead quality excellence across the Revenue Cycle Management function. This role requires a strong understanding of the end-to-end RCM lifecycle, with hands-on expertise in Medical Billing, Accounts Receivable (AR), Denial Management, and Quality Operations.
The ideal candidate will be responsible for driving quality strategy, improving operational performance, ensuring compliance with client requirements, and leading continuous process improvement initiatives.
Key Responsibilities
- Lead the Quality function across end-to-end Revenue Cycle Management operations.
- Drive quality initiatives covering Medical Billing, Accounts Receivable (AR), Denial Management, Payment Posting, and related RCM processes.
- Establish and monitor quality metrics, KPIs, and process performance to improve operational efficiency.
- Conduct root cause analysis (RCA) and implement corrective and preventive actions (CAPA) to minimize quality gaps.
- Collaborate closely with Operations, Training, and Client Management teams to ensure consistent service delivery.
- Lead quality audits, calibration sessions, process compliance reviews, and client quality reporting.
- Identify automation and process improvement opportunities to enhance productivity and accuracy.
- Mentor and develop quality managers and operational teams to build a culture of continuous improvement.
- Ensure compliance with client SLAs, quality standards, HIPAA regulations, and organizational policies.
- Present quality performance dashboards, business insights, and improvement plans to senior leadership.
Desired Candidate Profile
- Minimum 13 years of experience in US Healthcare Revenue Cycle Management.
- Solid understanding of the complete RCM lifecycle, including:
- Medical Billing
- Accounts Receivable (AR)
- Denial Management
- Payment Posting
- Revenue Integrity
- Extensive experience leading RCM Quality functions.
- Proven experience in managing Quality frameworks, audits, process governance, and continuous improvement initiatives.
- Strong analytical, problem-solving, and decision-making abilities.
- Experience in stakeholder management and client interactions.
- Demonstrated ability to lead large teams and drive performance through coaching and mentoring.
- Excellent communication and presentation skills.
Preferred Skills
- Expertise in Quality Management methodologies.
- Lean Six Sigma certification (preferred).
- Exposure to process transformation and operational excellence initiatives.
- Strong knowledge of healthcare quality metrics, dashboards, and reporting.
- Experience handling multiple clients and large-scale RCM operations.
📌 Senior Manager - RCM (Quality & Operations) (Tamil Nadu)
🏢 LogixHealth
📍 Tamil Nadu