10 Aug
|
Acurus Solutions
|
Royapettah
10 Aug
Acurus Solutions
Royapettah
About the Role
We are seeking an experienced RCM Manager to lead our Professional (CMS-1500) Billing operations across multiple specialties. This role owns end-to-end billing delivery for existing client accounts, drives new client/project implementations, and oversees EDI and ERA enrollment functions. The ideal candidate combines strong operational management skills with deep subject-matter expertise in US healthcare provider billing, and has a track record of leading teams through client transitions and go-lives.
Key Responsibilities
Operations & Team Management
- Manage day-to-day operations of the professional billing team across multiple specialties and client accounts
- Set, monitor, and drive team performance against KPIs: clean claim rate, days in AR, denial rate, productivity, and quality/accuracy targets
- Conduct regular huddles, one-on-ones, and performance reviews; manage coaching, training, and PIPs as needed
- Own workforce planning, shift scheduling, and capacity/utilization management
- Build and maintain SOPs, training materials,
and quality audit frameworks for the billing function
- Escalation point for complex claims, payer issues, and client escalations
New Project / Client Implementation
- Lead billing workstreams for new client onboarding and transitions, from kickoff through go-live and stabilization
- Partner with Implementation, Credentialing, IT, and Coding teams to define timelines, dependencies, and readiness criteria
- Oversee PM/EHR system configuration validation, charge master setup, and fee schedule mapping relevant to billing
- Drive parallel billing runs, UAT, and go/no-go decisions for current accounts
- Identify workflow gaps and implement process improvements during and after transition
- Present implementation status, risks, and readiness updates to internal leadership and client stakeholders
EDI & ERA Enrollment Oversight
- Own the EDI enrollment function across payers and clearinghouses, ensuring timely completion and trac
📌 Manager_Transition (Royapettah)
🏢 Acurus Solutions
📍 Royapettah