Operations Manager

Job Title Manager – Operations (RCM)Location Chennai DLFExperience 8–12 years (RCM Operations – Front End)Job SummaryWe are looking for an experienced Manager – Operations in the Revenue Cycle Management (RCM) domain to lead and manage front-end revenue cycle processes, specifically Eligibility & Benefits Verification, Prior Authorizations, and Insurance Verification. The role requires strong people management, client handling, process optimization, and deep payer knowledge.Key Responsibilities- Manage end-to-end Eligibility Verification, Benefits Verification, and Prior Authorization operations - Lead, mentor, and manage team leads, supervisors, and associates - Ensure accurate verification of patient insurance coverage, benefits, deductibles, copays, and out-of-pocket details - Oversee authorization workflows including medical necessity checks and payer-specific requirements - Monitor daily productivity, quality, TAT, and SLA adherence - Drive process improvements, automation initiatives, and error reduction - Handle client communications, performance reviews, and escalation management - Conduct regular audits, root cause analysis, and corrective action plans - Ensure compliance with HIPAA, payer guidelines, and client SOPs - Prepare and present MIS, dashboards, and operational metrics - Support transitions, ramp-ups, and new client implementationsRequired Skills & Competencies- Strong knowledge of US Healthcare RCM – Front-End Operations - Expertise in Eligibility & Benefits Verification and Prior Authorization - In-depth understanding of commercial, Medicare, Medicaid, and Managed Care payers - Excellent people management and stakeholder management skills - Strong analytical, problem-solving, and decision-making abilities - Experience working with EMRs, practice management systems, and payer portals - Excellent communication skills (written & verbal)Preferred Experience- Experience working with US Healthcare providers / billing companies - Prior exposure to client-facing roles and offshore delivery models - Experience managing teams of 200+ FTEs - Knowledge of Lean, Six Sigma, or process excellence frameworks is a plusWhy Join Us?- Opportunity to lead critical RCM operations - Exposure to high-impact client engagements - Career growth in a fast-growing healthcare services environmentPerks and Benefits:- Competitive salary and performance-based incentives - Health insurance - Night shift allowance - Professional development opportunities - Dynamic and inclusive work cultureIf interested, send your CV to 8248165076 or abdulwahab@

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