General Manager - RCM Quality (US Healthcare)

SUMMARY :

As a GM quality, you will be involved in the full lifecycle of RCM. Manage and report adherence to service levels as agreed with client. Responsible for Customer satisfaction measured through CSAT & ESAT scores. Ensure Best-In-Class process/system are deployed for the set revenue and cost goals. Excellent communication skills, attention to detail, and strong technical and problem solving skills are essential aspects of this role. Must be well versed with financial numbers and P&L reporting.

Key Responsibilities

• Lead Quality Assurance initiatives across US Healthcare Revenue Cycle Management (RCM) processes.
• Conduct quality audits for Billing, AR Follow-up, Denials, Payment Posting, and related RCM functions.
• Monitor process quality metrics and ensure process health scores meet defined targets.
• Perform Root Cause Analysis (RCA) for quality issues and drive corr...