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
Advise managers in handling:
Low p

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