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RCM Manager - Medical Billing - US Healthcare
RCM Manager - Medical Billing - US Healthcare
Job details
Pay
Job type
Benefits
Full job description
Location: HBR Layout, Bengaluru
Experience: 8–12 years in US Healthcare RCM and Medical Billing
Management Experience: Minimum 4–5 years in Operations Manager / Assistant Manager role
Team Size: Experience managing 30–100+ employees preferred
We are looking for an experienced RCM Manager with strong hands-on experience in US Healthcare Medical Billing and end-to-end Revenue Cycle Management (RCM).
The ideal candidate should have a proven track record of managing RCM operations, leading Team Leads/Managers, handling client relationships, and delivering productivity, quality, SLA, and financial targets.
Mandatory Requirements:
- Strong understanding of end-to-end US Healthcare RCM
- Experience managing multiple RCM processes and large-volume operations
- Strong client-facing and communication skills
- Experience handling client calls, escalations, operational reviews, and business reviews
- Experience with US healthcare PM/EHR systems; AdvancedMD experience is preferred
- Experience in physician, hospital, or multi-specialty billing
Key Responsibilities
- Manage end-to-end US Healthcare RCM / Medical Billing operations, covering front-end, mid-cycle, and back-end functions.
- Oversee functions such as Patient Registration, Insurance Verification, Prior Authorization, Charge Entry, Coding coordination, Payment Posting, AR Follow-up, Denial Management, Appeals, and AR Recovery.
- Manage Team Leads, Managers, and large operations teams to achieve productivity, quality, SLA, and client KPIs.
- Monitor operational and financial metrics including AR aging, collections, denials, productivity, quality, and reimbursement performance.
- Drive initiatives to improve collections, reduce AR aging and denials, and improve overall revenue performance.
- Manage client relationships, participate in client calls and business reviews, and ensure delivery against contractual SLAs and KPIs.
- Handle escalations, audits, compliance issues, and operational risks.
- Lead workforce planning, capacity planning, forecasting, and resource allocation.
- Prepare and present MIS, operational dashboards, performance reports, and management reviews.
- Identify process gaps and drive RCA, CAPA, Lean/Six Sigma, and continuous improvement initiatives.
- Work closely with Quality, Training, Coding, IT, and Client Management teams.
- Identify opportunities for workflow optimization, automation, and operational efficiency.
Candidates Who Should Not Apply
This position is not intended for candidates whose experience is limited to:
- AR Calling / AR Follow-up only
- Medical Coding only
- Credentialing only
- Payment Posting only
- General BPO Operations without US Healthcare RCM experience
Only candidates with substantial US Healthcare Medical Billing/RCM Operations Management experience will be considered.
Eligible candidates can apply here or share your updated resume with recruiter@medvoiceinc.com or connect using the No. 6364915511
Pay: ₹60,000.00 - ₹90,000.00 per month
Benefits:
- Paid sick time
Work Location: In person