Job Summary

The Manager – RCM Operations is responsible for managing end-to-end Revenue Cycle Management operations for Home Health and Hospice services. The role focuses on optimizing revenue, ensuring compliance, achieving operational KPIs, and leading high-performing teams while driving continuous process improvement and client satisfaction.

Key Responsibilities
Manage end-to-end RCM operations including authorization management (positive to have), claims submission, payment posting, AR follow-up, denial management, appeals, and collections.
Monitor key performance metrics such as AR Days, Clean Claim Rate, Denial Rate, Collections, Productivity, Quality, and SLA adherence.
Lead, coach, and develop Team Leaders and RCM Associates through performance management, training, and employee engagement initiatives.
Drive process improvements, quality initiatives, and compliance with HIPAA, Medicare, Medicaid, and payer guidelines.
Analyze operational performance, prepare MIS reports, and implement action plans to improve revenue realization.




Collaborate with clients and cross-functional teams to resolve issues, improve workflows, and ensure service excellence.

Qualifications & Experience
Must be a graduate or Bachelor's degree in Healthcare Administration, Business, Life Sciences, or a related field (preferred).
6–12 years of US Healthcare RCM experience, including Home Health & Hospice, with 2–5 years in a leadership role.
Solid knowledge of Medicare, Medicaid, commercial payers, and Home Health & Hospice billing processes.

Key Skills
Home Health & Hospice RCM
Claims, AR & Denial Management
Revenue Optimization & Compliance
Leadership & People Management
Stakeholder Management
Process Improvement & Operational Excellence
Solid analytical, communication, and problem-solving skills
Client Satisfaction

Pay: ₹65,000.00 - ₹78,000.00 per month

Advantages:
Food provided
Health insurance
Provident Fund

Work Location: In person

📌 Manager Rcm Operations Kochi
🏢 Cliniqon RCM
📍 Kochi