US Healthcare, Medical Billing, Rcm jobs

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