Credentialing)
- Ensure KPIs, TAT, and productivity benchmarks are achieved
- Drive revenue improvement and denial reduction strategies
- Implement structured reporting and weekly operational audits
- Monitor workflow allocation and resource planning
2 Team Management
- Lead Team Leaders and department heads
- Conduct weekly performance reviews and strategy meetings
- Develop training plans and performance improvement programs
- Maintain discipline, accountability, and structured documentation culture
3 Client & Revenue Management
- Act as escalation point for operational and client issues
- Analyze AR aging reports and identify revenue gaps
- Ensure claims submission accuracy and denial management control
- Improve collection ratios and reduce turnaround time
4 Compliance & Process Improvement
- Ensure HIPAA compliance and data security standards
- Create SOPs and process documentation
- Identify automation and workflow improvement opportunities
- Conduct internal audits and quality checks
Required Qualifications:
- 6+ years of experience in US Healthcare RCM
- Minimum 2+ years in Operations Manager / Senior Operations role
- Solid exposure to:
- AR Management
- Denial Management
- Medical Billing
- Payment Posting
- Credentialing workflows
- Strong analytical & reporting skills
- Excellent communication & leadership ability