Job Description

Job Title

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Manager / Senior Manager - US Healthcare Presales (RCM & AR Calling Specialist)

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Location

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Primera Medical Technologies, Hyderabad

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Job Summary

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Primera Medical Technologies is seeking an experienced US Healthcare Presales & Solutioning professional with deep expertise in Revenue Cycle Management (RCM), Accounts Receivable (AR) Calling, Provider Operations, and Healthcare Business Processes . The ideal candidate will act as a domain leader supporting sales, solutioning, consulting, and client engagements while driving healthcare transformation initiatives for provider organizations.

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This role requires solid functional knowledge of the US healthcare ecosystem, provider workflows, RCM operations, AR follow-up processes, denial management, and healthcare technologies. The candidate will collaborate with sales, solution architects, delivery teams, and client stakeholders to design business-driven solutions and support strategic growth initiatives.

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Key Responsibilities

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Domain-Led Pre Sales

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- Serve as the primary US Healthcare and RCM domain expert across presales opportunities.
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- Lead discovery workshops and requirement-gathering sessions with healthcare provider clients.
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- Analyze client business challenges and design tailored solutions aligned with operational and financial goals.
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Revenue Cycle Management (RCM) & AR Calling Expertise

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- Demonstrate deep expertise in the end-to-end Revenue Cycle Management lifecycle.
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- Lead solution design around:
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- AR Follow-up & Collections
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- Insurance Calling
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- Denial Analysis & Appeals
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- Underpayment Identification
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- Prior Authorization Follow-up
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- Claims Status Verification
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- Payment Variance Resolution
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- Aging Analysis
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- Credit Balance Resolution
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- Patient Collections
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- Provide consulting and best-practice recommendations to improve:
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- Days in AR
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- Collection Effectiveness
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- First Pass Resolution Rate
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- Clean Claim Rate
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- Denial Prevention
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- Net Collection Ratio
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- Support automation, analytics,



and AI-driven optimization initiatives within RCM operations.
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Proposal, RFP & Solution Response Support

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- Lead and contribute to RFI, RFP, RFQ, and proposal responses.
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- Develop healthcare-specific solution content, workflows, business rules, and operational models.
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- Create solution assumptions, scope definitions, and effort estimation inputs.
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- Define KPIs, SLAs, operational governance, and performance metrics.
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- Ensure solution compliance with industry regulations and client-specific requirements.
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Collaboration & Internal Enablement

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- Work closely with sales, business development, solution architects, and delivery teams.
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- Support creation of:
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- Solution accelerators
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- Reusable assets
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- Case studies
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- Capability presentations
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- Go-to-Market (GTM) collateral
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- Mentor internal teams on healthcare processes, RCM operations, and AR calling best practices.
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- Participate in organizational capability-building initiatives.
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Thought Leadership

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- Stay current with emerging healthcare trends, technologies, and regulatory updates.
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- Develop point-of-views, whitepapers, capability frameworks, and industry insights.
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- Contribute thought leadership in areas such as:
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- Revenue Cycle Transformation
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- AI in Healthcare Operations
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- Intelligent Claims Management
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- Digital Patient Financial Experience
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- Value-Based Care
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- Healthcare Analytics
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- Interoperability (FHIR & HL7)
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Required Qualifications & Experience

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Domain Expertise

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- 12 to 15 years of experience in the US Healthcare industry.
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- Minimum 8+ years of hands-on exposure to Revenue Cycle Management (RCM).
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- Strong expertise in Accounts Receivable (AR) Calling and Insurance Follow-up.
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- Extensive experience across:
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- Medical Billing
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- Claim Management
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- Denial Management
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- Payment Posting
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- Eligibility & Benefits Verification
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- Patient Collections
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- Provider Operations
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- Revenue Integrity
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- Care Management
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- Strong understanding of Provider business operations.
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Presales & Consulting Experience

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- Proven experience supporting presales, consulting, solutioning, or healthcare transformation engagements.
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- Ability to convert business requirements into scalable solution frameworks.
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- Experience in proposal development, client presentations, workshops, and solution demonstrations.
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- Strong analytical and problem-solving capabilities.
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Healthcare Platforms & Technology Exposure

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- Exposure to healthcare platforms and EHR systems including:
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- EPIC
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- Cerner
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- Athenahealth
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- eClinicalWorks
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- Other Provider Workflow Systems
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- Understanding of healthcare digital transformation initiatives including cloud, analytics, AI, and automation solutions.
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Preferred Qualifications

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- Experience working with healthcare BPO, RCM service providers, consulting firms, or healthcare technology organizations.
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- Experience supporting US-based healthcare provider clients.
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- Exposure to AI, RPA, Analytics, Digital Transformation, and Automation initiatives within healthcare operations.
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- Certifications related to Healthcare, RCM, Revenue Integrity, or Healthcare Information Systems are highly preferred.
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Why Join Primera Medical Technologies?

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At Primera Medical Technologies, you will have the opportunity to work with leading healthcare organizations, drive transformative RCM initiatives, shape innovative healthcare solutions, and contribute to industry-leading healthcare technology and operational excellence programs.

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Please share your resume at [email protected]

📌 Manager / Senior Manager - US Healthcare Presales (RCM ) (Hyderabad)
🏢 PrimEra Medical Technologies
📍 Hyderabad