31 Oct
|
Infinx
|
Hyderabad
Group Company: Infinx Designation: AD
- RCM COE Office
Location:
Hi-Tech, Hyderabad Role Overview The Associate Director – COE for Healthcare Revenue Cycle Management (RCM) is a strategic leadership role responsible for establishing, governing, and optimizing a Center of Excellence to drive best practices, process standardization, innovation, and performance excellence across RCM functions. This role will focus on improving financial outcomes, enhancing operational efficiency, ensuring compliance, and driving digital transformation across the end-to-end revenue cycle.
Key Responsibilities
• COE Strategy & Leadership
• Lead the design, implementation, and expansion of the RCM COE strategy aligned with organizational goals.
• Establish governance frameworks, operating models, and best practices across all RCM functions.
• Act as a subject matter expert (SME) for revenue cycle operations and transformation initiatives.
• Collaborate with executive stakeholders to define KPIs and performance benchmarks.
• Process Excellence & Standardization
• Drive end-to-end process optimization across key RCM areas:
• Patient Access & Registration
• Coding (ICD-10, CPT, HCPCS)
• Billing & Charge Entry
• Accounts Receivable (AR) Management
• Denials Management
• Payment Posting
• Implement Lean, Six Sigma, or similar methodologies to improve quality and reduce turnaround time.
• Develop SOPs, playbooks, and standardized workflows.
• Analytics, Reporting & Performance Management
• Define and monitor KPIs such as:
• Days in AR
• Net Collection Rate
• First Pass Yield
• Denial Rate
• Cash Acceleration
• Develop advanced reporting dashboards and predictive analytics frameworks.
• Identify trends, root causes, and implement corrective actions.
• Digital Transformation & Automation
• Lead initiatives in:
• RPA (Robotic Process Automation)
• AI/ML-driven coding and denial prediction
• Workflow automation tools
• Partner with IT/product teams to deploy technology solutions (EHR, practice management systems).
• Drive innovation to enhance productivity and reduce cost-to-collect.
• Compliance & Risk Management
• Ensure adherence to regulatory requirements such as:
• HIPAA
• CMS guidelines
• Payer-specific policies
• Conduct audits and quality assurance programs.
• Mitigate compliance and operational risks.
• Stakeholder Management
• Engage with internal and external stakeholders including:
• Clients / Providers
• Payers
• Senior leadership
• Present insights, improvements, and business outcomes to executives.
• Drive client satisfaction and account growth through value-driven outcomes.
• Team Leadership & Capability Development
• Lead and mentor COE teams including SMEs, analysts, and process experts.
• Build capability frameworks, training programs, and certification pathways.
• Foster a culture of continuous improvement, innovation, and collaboration. Required Qualifications Education
• Bachelor’s degree in Healthcare Administration, Life Sciences, Finance, or related field
• MBA / MHA (preferred) Experience
• 12–16+ years of experience in healthcare RCM operations
• Minimum 5–7 years in leadership / COE / transformation roles
• Robust exposure to end-to-end RCM processes
• Experience working with US healthcare market (mandatory for global roles)
📌 Associate Director (Hyderabad)
🏢 Infinx
📍 Hyderabad