SME / Process Specialist – Revenue Cycle Management (RCM)
Location: Bangalore, Karnataka, India (Outer Ring Road)
Work Mode: Onsite
Employment Type: Full-Time
Position Level: Associate
Job Requisition ID: JR-0013604
Posted On: 8 Days Ago
Industry: Healthcare | Revenue Cycle Management
About Huron
Huron is a global professional services organization that partners with healthcare providers to drive growth, improve operational performance, and sustain leadership in an increasingly complex healthcare environment. Huron enables health systems, hospitals, and medical clinics to enhance clinical outcomes, reduce costs, and deliver a more patient-centric experience by fostering innovation and operational excellence.
By joining Huron, you become part of a team that helps healthcare organizations evolve, optimize business operations, and achieve long-term sustainability in a rapidly changing global healthcare landscape.
Role Overview
Huron is seeking an experienced SME / Process Specialist – RCM to support and lead operational excellence across revenue cycle functions. This role involves team handling, work allocation, client interaction, and preparation of detailed RCM performance metrics for leadership review.
The ideal candidate will bring strong domain expertise in US healthcare revenue cycle management, hands-on reporting skills, and the ability to analyze data to drive process improvements.
Key Responsibilities
Lead and manage a team of 15–20 FTEs, ensuring productivity, quality, and adherence to SLAs.
Allocate and monitor daily work assignments across RCM functions.
Demonstrate strong knowledge of end-to-end RCM processes including Billing, Cash Posting, Credit Balance, Accounts Receivable, Denial Management, and Correspondence Review.
Track and analyze critical RCM performance metrics such as Days in A/R, Aging above 90 days, Collections, and Bad Debt.
Review team performance periodically and recommend performance improvement plans (PIPs) when required.
Prepare and deliver daily, weekly, and monthly operational reports using practice management systems, billing tools, and MS Excel.
Identify trends, patterns, and root causes from AR data and implement corrective action plans.
Create and maintain operational scorecards and KPIs to support volume forecasting and capacity planning.
Generate accurate and timely management reports, including ad hoc analysis.
Collaborate closely with team managers by highlighting operational gaps, trends, and improvement opportunities.
Drive process improvements using Lean Six Sigma principles and recommend automation of repetitive tasks.
Interact effectively with clients and internal stakeholders to ensure alignment and issue resolution.
Willingness to work in US/night shift schedules.
Required Skills and Competencies
Strong expertise in US healthcare RCM operations and metrics.
Advanced proficiency in MS Excel, including dashboards, pivot tables, and macros.
Strong analytical ability to interpret raw data and develop actionable insights.
Proven experience in operational reporting and data-driven decision making.
Ability to manage multiple reporting requirements simultaneously.
Excellent verbal and written communication skills.
Strong leadership, stakeholder management, and problem-solving abilities.
High attention to detail and commitment to quality and compliance.
Experience & Qualifications
Total Experience Required: Minimum 5+ years in the healthcare or RCM industry.
Relevant RCM Experience: At least 3+ years in billing, AR, or related RCM functions.
Education: Graduate in any discipline from a recognized institution.
Certifications in RCM, Six Sigma, or process improvement are an added advantage.
Employment Details
Country: India
City: Bangalore
Work Mode: Onsite
Shift: US / Night Shift
Employment Type: Full-Time
SEO Keywords
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