Job Title /n Manager / Senior Manager - US Healthcare Presales (RCM & AR Calling Specialist) /n Location /n Primera Medical Technologies, Hyderabad /n Job Summary /n 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. /n This role requires strong 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. /n /n Key Responsibilities /n Domain-Led Pre Sales /n /n

- 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.

/n /n /n Revenue Cycle Management (RCM) & AR Calling Expertise /n /n

- 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.

/n /n /n Proposal, RFP & Solution Response Support /n /n

- 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.

/n /n /n Collaboration & Internal Enablement /n /n

- 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.

/n /n /n Thought Leadership /n /n

- 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)

/n /n /n Required Qualifications & Experience /n Domain Expertise /n /n

- 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 & Advantages 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.

/n /n /n Presales & Consulting Experience /n /n

- 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.

/n /n /n Healthcare Platforms & Technology Exposure /n /n

- 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.

/n /n /n Preferred Qualifications /n /n

- 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.

/n /n /n Why Join Primera Medical Technologies? /n 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. /n /n Please share your resume at [email protected]

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