Key Responsibilities

- Analyze end-to-end RCM processes to identify operational gaps and improvement opportunities.
- Lead and implement Lean, Six Sigma, Kaizen, and other continuous improvement initiatives.
- Develop and monitor Key Performance Indicators (KPIs) and operational dashboards.
- Conduct root cause analysis (RCA) for process issues and implement corrective and preventive actions.
- Standardize workflows by creating and maintaining Standard Operating Procedures (SOPs), work instructions, and process documentation.
- Partner with operations, quality, training, and technology teams to optimize productivity and quality.
- Support automation, digital transformation, and process optimization initiatives.
- Facilitate process mapping, value stream mapping, and workflow redesign exercises.
- Monitor productivity, quality, turnaround time (TAT), and service-level agreement (SLA) adherence.
- Identify risks and ensure compliance with HIPAA, payer guidelines, and client-specific requirements.
- Provide coaching and mentoring to operations teams on best practices and process improvements.
- Participate in client discussions, internal audits, and operational reviews.
- Prepare management reports and present improvement outcomes to stakeholders.

Required Skills

- Strong understanding of the complete Revenue Cycle Management lifecycle, including:
- Patient Registration
- Insurance Verification
- Medical Coding
- Charge Entry
- Claims Submission
- Payment Posting
- Accounts Receivable (AR) Follow-up
- Denial Management
- Appeals




- Patient Collections

- Knowledge of Lean, Six Sigma, Kaizen, and continuous improvement methodologies.
- Robust analytical and problem-solving skills.
- Expertise in root cause analysis and process mapping.
- Advanced proficiency in Microsoft Excel, Power BI, or similar reporting tools.
- Excellent communication, presentation, and stakeholder management skills.
- Ability to manage multiple improvement projects simultaneously.

Preferred Qualifications

- Experience with RCM platforms, EHR/EMR systems, and workflow management tools.

Experience

- 5+ years of experience in end to end Revenue Cycle Management.
- At least 2+ years of experience in quality / Operations Excellence, Process Excellence, Continuous Improvement, or Business Excellence roles within healthcare BPO/KPO or provider organizations.

Key Performance Indicators

- Productivity improvement
- Quality improvement
- Cost savings
- Reduction in turnaround time (TAT)
- SLA adherence
- Reduction in claim denials and rework
- Increase in first-pass claim acceptance rate
- Automation and process optimization benefits
- Customer/client satisfaction
- Employee engagement in continuous improvement initiatives

Competencies

- Continuous Improvement mindset
- Leadership and influencing skills
- Data-driven decision-making
- Critical thinking
- Project management
- Change management
- Collaboration and teamwork
- Customer focus
- Results orientation

Interested can reach out to Jenifer R HR - (phone hidden)

📌 AnnexMed Hiring For SME - OPEX (Chennai Location)
🏢 AnnexMed
📍 Chennai