RCM OPERATIONS MANAGER (HEALTHCARE BPO)

Position Title:

RCM Operations Manager (Healthcare BPO)

Location:

Colombia / Honduras International Relocation Opportunity

Role Overview

We are seeking a highly experienced RCM Operations Manager to lead end-to-end Revenue Cycle Management operations for U.S.-based healthcare clients.

This role is responsible for overseeing large-scale BPO teams optimizing revenue workflows ensuring compliance and driving financial performance across the full RCM lifecycle.

About Revenue Cycle Management (RCM)

RCM is the process healthcare providers use to manage financial operations from patient registration to final payment collection.

Front-End (Pre-Service)

• Insurance eligibility verification

• Pre-authorizations

• Patient intake & registration

• Appointment scheduling

Focus: Prevent revenue leakage early

Mid-Cycle (During Service)

• Medical coding (ICD-10 CPT)

• Clinical documentation

• Charge entry

Focus: Ensure accurate billing

Back-End (Post-Service Core Revenue)

• Claims submission

• Denials management

• Insurance follow-ups

• Collections

• Payment posting

Focus: Maximize revenue and cash flow

Key Responsibilities

Operations Leadership

• Lead and manage teams of 40150 FTEs

• Supervise Team Leaders and Supervisors

• Ensure SLA productivity and quality metrics

Revenue Performance

• Improve collection rates

• Reduce denial rates

• Manage AR days and backlog

• Drive financial outcomes for U.S. clients

Process Optimization

• Implement Lean / Six Sigma initiatives

• Standardize workflows across RCM functions

• Identify automation opportunities

Client Management (U.S. Healthcare Clients)

• Lead operational calls and reporting

• Conduct QBRs (Quarterly Business Reviews)

• Manage escalations and expectations

Requirements

• 510 years in Healthcare Revenue Cycle Management

• Proven BPO experience (mandatory)

• Experience managing large teams (40 FTEs)

• Strong knowledge of End-to-End RCM (Front Mid Back)

• Systems: Epic Cerner Athena Kareo (preferred)

• English level: C1 / C2 (Fluent required for client interaction)

Compensation & Benefits

• Competitive salary in USD

• International exposure

• Career growth into Senior Operations / Director roles

• High-demand Healthcare industry stability

Work Model

• Offshore / Hybrid / Relocation depending on project

• Must be open to working with U.S. clients and time zones

Success Metrics (KPIs)

• Collection Rate %

• Denial Rate %

• AR Days

• First Pass Resolution

• Productivity per FTE

• Quality Assurance Scores

Why Join This Role

• Direct exposure to U.S. healthcare systems

• High-impact revenue-driven role

• Leadership growth opportunity

• International career path

How to Apply

If you are ready to take the next step in your career please submit:

• Updated Resume (PDF format)
• Updated LinkedIn Profile Link
• A brief statement (maximum 7 lines) explaining why you are the ideal candidate highlighting your passion for development and growth mindset.

LinkedIn SEO Keywords (small format for AI parsing)

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