RCM Senior Team Leader

About the Role

Saisystems Health is seeking a high-calibre Senior Lead for its Revenue Cycle Management operations — a strategic individual contributor and people leader who brings end-to-end RCM expertise, an automation-first mindset, and the ability to independently manage client relationships while delivering measurable revenue outcomes. The role sits at the intersection of operations, technology, and client success and is critical to sustaining and scaling the company's RCM performance.

Business Need :

• End-to-end RCM operational knowledge across Enrollment, Billing, Claims, Follow-up, Denials, Payments, and Reporting.
• Strong analytical and critical-thinking capabilities to identify revenue leakage and process gaps.
• Automation-first mindset to eliminate repetitive manual tasks and improve productivity.
• Ability to independently manage client expectations, escalations, and operational performance.
• Expertise in driving collection outcomes while maintaining quality and compliance standards.
• Strong stakeholder management skills to collaborate with Operations, Technology, Enrollment, Reporting, and Client Success teams.

Desired Candidate Profile

Experience

• 8–12 years for Junior Manager level or Senior Lead level.
• Proven experience in Healthcare Revenue Cycle Management.
• Demonstrated success in managing large accounts and onboarding new clients.
• Experience in process transformation and automation initiatives.

Core Competencies

• End-to-end RCM Process Knowledge
• Critical Thinking & Problem Solving
• Data-Driven Decision Making
• Revenue Optimization
• Client Relationship Management
• Operational Excellence
• Team Leadership & Coaching
• Automation & AI Adoption
• Escalation Management
• Performance Management

Key Responsibilities

RCM Operations Management

• Oversee end-to-end RCM workflow — Enrollment, Billing, Claims, Follow-up, Denials, Payments, and Reporting.
• Monitor and drive First Pass Resolution Rate (FPRR) ≥ 95%.
• Ensure collections are achieved within 30 days from First Bill Date.
• Manage Credentialing and Enrollment inventory in alignment with RCM operations.

Revenue & Financial Performance

• Deliver ≥ 100% of projected collection targets on a monthly basis.
• Improve gross margin contribution for accounts valued at $1M+.
• Consistently exceed Medicare Fee Schedule benchmarks for Net Collection Rate.
• Drive collections from aging and outstanding A/R buckets.

Process Improvement & Automation

• Identify and implement automation opportunities through data validation and workflow optimization.
• Debug claim-level issues and simplify work queue (WQ) workflows.
• Drive continuous process improvement across all RCM sub-functions.

Client & Stakeholder Management

• Independently manage client expectations, SLA delivery, and escalation resolution.
• Deliver 100% on-time, defect-free client reporting.
• Collaborate cross-functionally with Operations, Technology, Enrollment, Reporting, and Client Success teams.
• Maintain Zero Preventable Escalations; resolve ≥ 98% of escalations within agreed TAT.

Team & Talent Management

• Lead, coach, and develop the RCM operations team.
• Maintain top-talent attrition ≤ 10%.
• Manage resource utilization with < 5% idle buffer.
• Ensure deliverables quality consistently exceeds 98%.