Sr Manager - RCM Services

About Us:

Job Summary

Operations Management

Financial Performance and Revenue Optimization

Denial Management and AR Management

People and Leadership Management

Client and Stakeholder Management

Qualifications

• 10–15 years in RCM, including 4–6 years in a leadership or management role
• Location: NOIDA
• Employment Type: Full-Time
• Job Summary
• AGM – Revenue Cycle Management (RCM) is responsible for overseeing end-to-end revenue cycle operations, ensuring optimal financial performance, operational efficiency, regulatory compliance, and client satisfaction. The role involves leading large teams across functions such as patient access, eligibility and benefits verification, medical billing, payment posting, accounts receivable (AR), denial management, appeals, and collections.
• The incumbent will drive revenue optimization, reduce denials and AR aging, improve cash flow, establish performance management frameworks, and build strong relationships with clients and internal stakeholders.
• Key Responsibilities
• Operations Management
• Oversee end-to-end RCM operations, ensuring adherence to contractual service-level agreements (SLAs), key performance indicators (KPIs), and quality standards.
• Manage multiple RCM functions, including eligibility verification, charge entry, claims submission, payment posting, AR follow-up, denial management, and patient billing, as applicable.
• Develop and execute operational strategies to improve productivity, turnaround time, accuracy, and overall revenue realization.
• Monitor daily, weekly, and monthly operational performance and implement corrective actions where required.
• Ensure effective resource planning, capacity management, staffing, and workflow optimization.
• Financial Performance and Revenue Optimization
• Drive improvements in net collections, cash realization, first-pass resolution rate, and accounts receivable performance.
• Monitor AR aging, days in AR, denial rates, underpayments, write-offs, and collection performance.
• Develop action plans to reduce outstanding AR, prevent revenue leakage, and accelerate cash flow.
• Partner with finance and client teams to identify opportunities for revenue recovery and process improvement.
• Analyze financial trends and prepare periodic performance reports, forecasts, and business reviews.
• Denial Management and AR Management
• Establish robust denial prevention and resolution strategies.
• Oversee root cause analysis of claim denials, rejections, underpayments, and payment delays.
• Drive timely appeals, reconsiderations, corrected claims, and payer escalations.
• Identify payer-specific trends and implement corrective measures to improve reimbursement.
• Ensure effective prioritization of high-value, aged, and high-risk accounts.
• People and Leadership Management
• Lead, mentor, and develop managers, team leaders, and operational teams.
• Set performance goals and conduct periodic performance reviews.
• Identify training needs and implement learning and development initiatives.
• Build a culture of accountability, continuous improvement, collaboration, and customer focus.
• Develop succession plans and strengthen leadership capability across teams.
• Client and Stakeholder Management
• Serve as a key point of contact for client leadership and internal stakeholders.
• Lead monthly and quarterly business reviews, presenting operational performance, financial outcomes, risks, and improvement plans.
• Manage escalations and ensure timely resolution of client concerns.
• Collaborate with client teams, providers, payers, coding, clinical
• Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
• A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Responsibilities

• Oversee end-to-end RCM operations, ensuring adherence to contractual service-level agreements (SLAs), key performance indicators (KPIs), and quality standards.
• Manage multiple RCM functions, including eligibility verification, charge entry, claims submission, payment posting, AR follow-up, denial management, and patient billing, as applicable.
• Develop and execute operational strategies to improve productivity, turnaround time, accuracy, and overall revenue realization.
• Monitor daily, weekly, and monthly operational performance and implement corrective actions where required.
• Ensure effective resource planning, capacity management, staffing, and workflow optimization.
• Drive improvements in net collections, cash realization, first-pass resolution rate, and accounts receivable performance.
• Monitor AR aging, days in AR, denial rates, underpayments, write-offs, and collection performance.
• Develop action plans to reduce outstanding AR, prevent revenue leakage, and accelerate cash flow.
• Partner with finance and client teams to identify opportunities for revenue recovery and process improvement.
• Analyze financial trends and prepare periodic performance reports, forecasts, and business reviews.
• Establish robust denial prevention and resolution strategies.
• Oversee root cause analysis of claim denials, rejections, underpayments, and payment delays.
• Drive timely appeals, reconsiderations, corrected claims, and payer escalations.
• Identify payer-specific trends and implement corrective measures to improve reimbursement.
• Ensure effective prioritization of high-value, aged, and high-risk accounts.
• Lead, mentor, and develop managers, team leaders, and operational teams.
• Set performance goals and conduct periodic performance reviews.
• Identify training needs and implement learning and development initiatives.
• Build a culture of accountability, continuous improvement, collaboration, and customer focus.
• Develop succession plans and strengthen leadership capability across teams.
• Serve as a key point of contact for client leadership and internal stakeholders.
• Lead monthly and quarterly business reviews, presenting operational performance, financial outcomes, risks, and improvement plans.
• Manage escalations and ensure timely resolution of client concerns.
• Collaborate with client teams, providers, payers, coding, clinical
• PHYSICAL DEMANDS:
• Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
• A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.