Operations Manager

Job Title Manager – Operations (RCM)

Location Chennai DLF

Experience 8–12 years (RCM Operations – Front End)

Job Summary

We 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 implementations

Required 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 plus

Why Join Us?

- Opportunity to lead critical RCM operations
- Exposure to high-impact client engagements
- Career growth in a fast-growing healthcare services environment

Perks and Benefits :

- Competitive salary and performance-based incentives
- Health insurance
- Night shift allowance
- Professional development opportunities
- Dynamic and inclusive work culture

If interested, send your CV to  or