Company Description:

Omega Healthcare Management Services is an AI-driven healthcare solutions company that partners with organizations across the provider, payer, and life sciences ecosystem to transform revenue operations.

Powered by the Omega Digital Platform, the company combines adaptive, agentic AI with deep human expertise to drive automation, optimize performance, and deliver sustained financial and clinical outcomes.

Omega Healthcare focuses on improving operational efficiency while enhancing patient satisfaction and helping clients navigate a rapidly evolving healthcare and technology landscape.

Recognized by industry analysts, the organization is consistently ranked as a leader in operational performance excellence.

For more information, visit www.omegahms.com.

Job Description:

Director / Senior Director - Hospital Billing (Facility Billing) Operations

Location:

India (Bangalore / Chennai / Hyderabad).

Role Summary:

We are seeking an experienced and results-driven leader to head our Hospital Billing (Facility Billing) operations within the US Healthcare Revenue Cycle Management (RCM) domain.

The incumbent will be responsible for driving operational excellence, client success, transformation initiatives, financial performance, and strategic growth across facility revenue cycle functions.

The ideal candidate will possess deep expertise in Hospital/Facility Billing, end-to-end RCM operations, quality management, process transformation, and stakeholder management while leading large-scale teams and complex client engagements.

Key Responsibilities:

Operational Leadership:

Lead end-to-end Facility Revenue Cycle Management operations across multiple clients and delivery centers.

Oversee Inpatient (IP), Outpatient (OP), Emergency Department (ED), Ambulatory Surgery Center (ASC), and Ancillary Services billing functions.

Drive operational performance against SLA, productivity, quality, accuracy, turnaround time, and financial targets.

Ensure compliance with client requirements, CMS regulations, HIPAA, and payer guidelines.

Hospital Billing & Revenue Cycle Management:

Manage all aspects of Facility Billing including:

- Patient Access & Registration

- Charge Capture

- Medical Coding (IP/OP)

- Claims Submission

- Payment Posting

- Denial Prevention & Management

- Accounts Receivable (AR) Management

- Revenue Integrity

- Credit Balance Resolution

- Drive improvements in cash collections, first-pass yield, denial reduction, and aging reduction.

Client & Stakeholder Management:

- Act as the executive point of contact for key hospital and health system clients.

- Conduct Quarterly Business Reviews (QBRs) and executive governance meetings.

- Build trusted relationships with client leadership teams.

- Support client retention, growth, and expansion initiatives.

Transformation & Continuous Improvement:

- Lead enterprise-wide transformation initiatives utilizing Lean Six Sigma methodologies.

- Drive automation, RPA, AI, Analytics, and GenAI adoption within revenue cycle processes.

- Identify operational inefficiencies and implement scalable solutions.

- Develop innovative strategies to improve revenue realization and operational efficiency.

Financial & Business Management:

- Own P&L performance for assigned business units.

- Drive revenue growth, margin improvement, and cost optimization.

- Support solutioning, pricing, RFP/RFI responses, and new business pursuits.

- Develop business cases and ROI models for transformation initiatives.

People Leadership:

- Lead and mentor large teams of operational leaders and SMEs.

- Develop succession plans and leadership pipelines.

- Foster a culture of accountability, innovation, collaboration, and continuous learning.

- Drive employee engagement, retention, and performance management initiatives.

Required Qualifications:

Education:

- Bachelor's degree in Healthcare Administration, Life Sciences, Business Administration, Finance, or related discipline.

- Master's degree preferred (MBA, MHA, MPH, Healthcare Management).

Experience:

- 13+ years of experience in US Healthcare Revenue Cycle Management.

- Minimum 8+ years of leadership experience managing Facility Billing operations.

- Proven experience leading large-scale Hospital Billing operations for hospitals and health systems.

- Experience managing global teams and multiple client engagements.

Mandatory Domain Expertise:

Hospital Billing (Facility Billing):

Strong expertise in:

- Inpatient Billing

- Outpatient Billing

- Emergency Department Billing

- Ambulatory Surgery Center Billing

- Ancillary Services Billing

- Hospital Accounts Receivable

- Revenue Integrity

- Denial Management

Regulatory & Reimbursement Knowledge:

Deep understanding of:

- UB-04 Claims

- DRG Methodology

- APC Payment Systems

- Medicare & Medicaid Reimbursement

- Commercial Payer Billing

- CMS Regulations

- HIPAA Compliance

Preferred Qualifications:

Lean Six Sigma Black Belt / Master Black Belt Certification.

Experience in Healthcare Shared Services or Global Capability Centers (GCC).

Exposure to RPA, AI, Machine Learning, Analytics, and GenAI solutions.

Experience in business transformation and consulting engagements.

CPC, CCS, RHIA, RHIT, HFMA, or similar certifications preferred.

Key Competencies:

- Hospital Billing Operations

- Facility Revenue Cycle Management

- Healthcare Financial Management

- Client Relationship Management

- Operational Excellence

- Lean Six Sigma

- Digital Transformation

- Strategic Planning

- P&L Management

- Stakeholder Management

- Leadership & Team Development

- Change Management

Success Metrics:

- Revenue Growth & Profitability

- Cash Collections Performance

- Reduction in AR Days

- Denial Rate Improvement

- First Pass Resolution Rate

- Client Satisfaction (CSAT)

- Employee Engagement & Retention

- Automation & Transformation Benefits

- SLA and Quality Performance