nYears of Experience: 8–10 years

nIndustry: RCM / US Healthcare

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

nRole Summary and purpose

nThe 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.

nKey Responsibilities

nEmployee Relations & Investigations

nLead investigations related to:

nWorkplace behavior, harassment, and discrimination

nConduct issues

nHIPAA-related violations, confidentiality breaches

nFraud, coding inaccuracies, and RCM-sensitive concerns

nComplaints involving behaviour

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

nDocument findings, recommend actions, and ensure closure with minimal business disruption.

nRCM-Specific Responsibilities

nSupport ER issues within RCM teams:

nBilling

nCoding

nAR follow-up

nPatient access

nRegistration & authorization

nAddress performance issues tied to:

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

nQuality scores and audit findings

nCompliance and payer-specific regulations

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

nCompliance & Policy Governances within RCM teams:

nEnsure adherence to:

nHealthcare regulations (HIPAA, privacy)

nHealthcare accreditation requirements (NABH/JCI)

nLabor laws and statutory requirements





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

nGuide leaders when applying disciplinary frameworks for sensitive issues.

nPerformance & Conduct Management

nAdvise managers in handling:

nLow performance

nAttendance and scheduling concerns (especially for 24/7 operations)

nBehavioral and professionalism issues

nMisconduct impacting revenue operations

nSupport corrective action processes including counselling, PIPs, and terminations.

nStakeholder & Leadership Advisory

nPartner with Operations Heads, and Compliance teams.

nCoach frontline leaders on conflict resolution, documentation, and handling grievance conversations.

nIdentify ER hotspots within departments and recommend preventive strategies.

nEngagement, Culture & Workforce Stability

nSupport initiatives aimed at:

nReducing attrition in high-volume functions like patient access or AR

nImproving morale among RCM teams

nEnhancing communication between shifts and cross-functional teams

nParticipate in culture-building, rewards programs, and engagement surveys.

nTraining & Capability Building

nDeliver training on:

nWorkplace conduct & behavior

nRespectful workplace & anti-harassment

nHIPAA awareness for non-clinical staff

nDocumentation & record-keeping best practices

nConflict management for supervisors





nBuild leader capability to handle ER issues independently and confidently.

nData & Insights

nMaintain ER dashboards with trends from:

nAttendance & lateness

nRCM productivity-linked escalations

nGrievances and engagement feedback

nProvide insights to leadership on risk areas and recommend targeted interventions.

nQualifications & Experience

nRequired:

nBachelor's degree in HR, Business, Healthcare Administration, or related field.

n8–10 years of HR experience, with at least 3–5 years in healthcare or RCM sector.

nStrong experience in ER investigations, including compliance-related and conduct issues.

nWorking knowledge of HIPAA, patient rights, and healthcare workplace norms.

nPreferred:

nHR certifications (SHRM-CP/SCP, PHR/SPHR).

nExperience in healthcare RCM companies.

nExposure to healthcare audits or accreditation processes (NABH/JCI)

nSkills & Competencies

nExcellent communication and stakeholder management.

nHigh integrity, confidentiality, and sound judgment.

nKnowledge of healthcare compliance frameworks and RCM metrics.

nStrong investigative and documentation skills.

nAbility to manage high-stress, emotionally sensitive situations.

nAnalytical mindset for ER dashboards and trend analysis.

nSuccess Measures (KPIs)

nTimely closure of ER cases

nReduction in repeated or department-specific ER triggers

nCompliance adherence (HIPAA, labour laws, accreditation standards)

nManager satisfaction with ER support

nImproved employee engagement and reduction in attrition

nStability and productivity improvements in RCM teams

nLarge-Scale HR Operations: Proven experience managing HR in organizations of 1500-2000

📌 Senior Consultant - Employee Relations (Hyderabad)
🏢 Gloplax Solutions
📍 Hyderabad