RCM Operations Leader

Job Title: Operations Leader End-to-End RCM

Department: Operations

Location: Chennai Egmore

Reports To:Director– Operations

About HRCS Services

HRCS Services is a trusted provider of end-to-end Revenue Cycle Management (RCM) solutions for U.S. healthcare organizations. With deep domain expertise across Coding, Charge Entry, Payment Posting, AR Management, and Denial Resolution, HRCS focuses on delivering accuracy, compliance, and operational excellence that drives measurable client outcomes.

We are looking for an experienced Operations Leader to manage the full RCM lifecycle, lead multi-functional teams, and ensure operational success through innovation, quality, and strategic execution.

Role Overview

The Operations Leader – End-to-End RCM will oversee all facets of revenue cycle operations, ensuring best-in-class service delivery across client engagements. The role demands strong operational leadership, hands-on understanding of RCM processes, and the ability to drive team performance, compliance, and client satisfaction through data-driven decision-making.

This individual will be responsible for people management, performance metrics, client coordination, process improvement, and ensuring alignment with organizational goals

Key Responsibilities

1. End-to-End RCM Management

• Oversee all functions within the RCM lifecycle – Patient Access, Coding, Charge Entry, Payment Posting, AR Follow-up, Denial Management, and Reporting.
• Ensure each process meets client KPIs, SLAs, and quality benchmarks.
• Drive root cause analysis for denials, rework, and revenue leakage, and lead initiatives for resolution.

2. Operations Leadership & Team Management

• Lead and manage teams across multiple RCM verticals and locations (75+ FTEs).
• Mentor and develop team leads and managers to ensure operational consistency and employee engagement.
• Foster a culture of accountability, collaboration, and continuous improvement.

3. Client & Stakeholder Management

• Act as the primary point of contact for operations, performance updates, and process escalations.
• Conduct weekly and monthly business reviews with internal leadership.
• Translate client expectations into actionable operational strategies.

4. Performance & Quality Governance

• Define and monitor key performance indicators (KPIs) for productivity, quality, TAT, and cash flow.
• Conduct operational audits to identify gaps and drive corrective action.
• Ensure adherence to HIPAA, HITECH, and all regulatory compliance requirements.

5. Financial Oversight & Reporting

• Drive revenue realization through accurate billing and timely collections.
• Collaborate with finance and compliance teams for reconciliations, variance analysis, and process controls.
• Prepare dashboards and MIS reports on operational performance, P&L insights, and client outcomes.

6. Process Excellence & Transformation

• Identify automation and technology opportunities to optimize workflows.
• Lead standardization initiatives across client accounts to improve scalability and efficiency.
• Implement lean methodologies and continuous improvement frameworks.

Qualifications & Experience

• Bachelor’s degree or higher in Business Administration, Healthcare Management, or related field (MBA preferred).
• 10–15 years of progressive experience in U.S. Healthcare RCM operations, with at least 5 years in a leadership role managing end-to-end processes.
• Strong understanding of provider-based RCM workflows across specialties.
• Expertise in Payer regulations, AR cycle analytics, denial trends, and compliance controls.
• Experience handling multi-client portfolios and large team structures.
• Hands-on proficiency with RCM platforms such as Epic, Athena, eClinicalWorks, NextGen, or Kareo.

Key Skills & Competencies

• Strategic leadership with hands-on operational understanding.
• Strong analytical and problem-solving capabilities.
• Excellent client communication and relationship management.
• Deep knowledge of RCM metrics, reporting, and dashboards.
• Proficiency in process transition, stabilization, and scaling.
• Ability to manage large teams with focus on performance and compliance.