Role Summary

We are seeking an experienced RCMS Operation Manager to lead end-to-end US Healthcare Revenue Cycle Management (RCM) operations. This role is responsible for driving operational excellence, client satisfaction, financial performance, compliance, and team leadership across multiple client accounts.

Key Responsibilities

- Lead RCM operations including billing, A/R follow-up, denial management, payment posting, collections, and prior authorization.
- Drive SLA/KPI achievement, productivity, quality, and revenue cycle performance.
- Manage client relationships, operational reviews, and escalation resolution.
- Lead and develop managers and large operational teams.
- Ensure compliance with HIPAA, CMS, payer requirements, and internal controls.
- Drive process improvement, automation, and transformation initiatives.
- Support workforce planning, talent development, and business growth.

Qualifications




- Bachelor's degree required; Master's preferred.
- 10+ years of US Healthcare RCM experience, including 3+ years leading managers and large teams.
- Robust expertise in medical billing, A/R management, denials, collections, and revenue integrity.
- Knowledge of CPT, ICD-10, HCPCS, Medicare, Medicaid, HIPAA, and CMS regulations.
- Experience with EHR/RCM platforms such as Epic, Cerner, athenahealth, NextGen, or Qualifacts solutions.
- Advanced Excel skills; Power BI experience preferred.

Preferred Certifications CRCR, CRCE, CPC, Lean Six Sigma, PMP, or equivalent.

Join Qualifacts and help transform healthcare operations through innovation, operational excellence, and customer success.

📌 RCMS Operation Manager (Vadodara)
🏢 Ihcs Technologies
📍 Vadodara