Job Description

Years of Experience: 8–10 years

Industry: RCM / US Healthcare

Shift Timings: 6:30 PM to 3:30 AM IST

Role Summary and purpose

The Senior Employee Relations Specialist – Healthcare & RCM will be responsible for managing complex employee relations matters across Revenue Cycle Management operations. The role ensures fair, compliant, and consistent handling of workplace issues while balancing associate safety, regulatory requirements, and operational productivity. This position requires solid investigation skills, healthcare/RCM domain understanding, knowledge of labour laws, and the ability to partner with operations, compliance, and quality leaders.

Key Responsibilities

Employee Relations & Investigations

Lead investigations related to:

Workplace behavior, harassment, and discrimination

Conduct issues

HIPAA-related violations, confidentiality breaches

Fraud, coding inaccuracies, and RCM-sensitive concerns

Complaints involving behaviour

Conduct meetings with employees, supervisors, and cross-functional stakeholders.

Document findings, recommend actions,



and ensure closure with minimal business disruption.

RCM-Specific Responsibilities

Support ER issues within RCM teams:

Billing

Coding

AR follow-up

Patient access

Registration & authorization

Address performance issues tied to:

Productivity metrics (DNFB, TAT, collections, coding accuracy)

Quality scores and audit findings

Compliance and payer-specific regulations

Partner with Quality, Operations, and Compliance to ensure alignment with revenue cycle controls.

Compliance & Policy Governances within RCM teams:

Ensure adherence to:

Healthcare regulations (HIPAA, privacy)

Healthcare accreditation requirements (NABH/JCI)

Labor laws and statutory requirements

Assist in developing, updating, and socializing HR and ER policies relevant to healthcare and RCM environments.

Guide leaders when applying disciplinary frameworks for sensitive issues.

Performance & Conduct Management

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