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