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Key Responsibilities - Analyze end-to-end RCM processes to identify operational gaps and improvement opportunities. - Lead and implement Lean, Six Sigma, Kaizen, and other continuous improvement initiatives. - Develop and monitor Key Performance Indicators (KPIs) and operational dashboards. - Conduct root cause analysis (RCA) for process issues and implement corrective and preventive actions. - Standardize workflows by creating and maintaining Standard Operating Procedures (SOPs), work instructions, and process documentation. - Partner with operations, quality, training, and technology teams to optimize productivity and quality. - Support automation, digital transformation, and process optimization initiatives. - Facilitate process mapping, value stream mapping, and workflow redesign exercises. - Monitor productivity, quality, turnaround time (TAT), and service-level agreement (SLA) adherence. - Identify risks and ensure compliance with HIPAA, payer guidelines, and client-specific requirements. - Provide coaching and mentoring to operations teams on best practices and process improvements. - Participate in client discussions, internal audits, and operational reviews. - Prepare management reports and present improvement outcomes to stakeholders. Required Skills - Strong understanding of the complete Revenue Cycle Management lifecycle, including: - Patient Registration - Insurance Verification - Medical Coding - Charge Entry - Claims Submission - Payment Posting - Accounts Receivable (AR) Follow-up - Denial Management - Appeals - Patient Collections - Knowledge of Lean, Six Sigma, Kaizen, and continuous improvement methodologies. - Robust analytical and problem-solving skills. - Expertise in root cause analysis and process mapping. - Advanced proficiency in Microsoft Excel, Power BI, or similar reporting tools. - Excellent communication, presentation, and stakeholder management skills. - Ability to manage multiple improvement projects simultaneously. Preferred Qualifications - Experience with RCM platforms, EHR/EMR systems, and workflow management tools. Experience - 5+ years of experience in end to end Revenue Cycle Management. - At least 2+ years of experience in quality / Operations Excellence, Process Excellence, Continuous Improvement, or Business Excellence roles within healthcare BPO/KPO or provider organizations. Key Performance Indicators - Productivity improvement - Quality improvement - Cost savings - Reduction in turnaround time (TAT) - SLA adherence - Reduction in claim denials and rework - Increase in first-pass claim acceptance rate - Automation and process optimization benefits - Customer/client satisfaction - Employee engagement in continuous improvement initiatives Competencies - Continuous Improvement mindset - Leadership and influencing skills - Data-driven decision-making - Critical thinking - Project management - Change management - Collaboration and teamwork - Customer focus - Results orientation Interested can reach out to Jenifer R HR - 8939211811 .