05 Sep
|
Eclat Health Solutions
|
Hyderabad
05 Sep
Eclat Health Solutions
Hyderabad
RCM General Manager – US Healthcare
Location: Hyderabad
Shift: US Night Shift
Work Mode: Work from Office
Job Summary
We are looking for an experienced General Manager – RCM to lead end-to-end US Healthcare Revenue Cycle Management operations, drive operational excellence, and ensure delivery, quality, productivity, profitability, and client satisfaction.
Key Responsibilities
Lead end-to-end US Healthcare RCM operations across AR and Non-AR functions.
Manage large-scale operations with multiple teams, processes, and client accounts.
Drive productivity, quality, SLA, KPI, revenue, and profitability targets.
Oversee functions including Patient Registration, Eligibility & Perks, Prior Authorization, Charge Entry, Medical Billing, Payment Posting, AR, Denials, Appeals, and Collections.
Develop and execute operational strategies for process improvement and business growth.
Manage client relationships, governance calls, escalations, and performance reviews.
Identify process gaps and implement RCA, CAPA, automation, and continuous improvement initiatives.
Ensure compliance with US Healthcare regulations, HIPAA, payer guidelines, and client requirements.
Lead workforce planning, hiring, succession planning,
employee engagement, and leadership development.
Collaborate with Training, Quality, HR, IT, and Finance teams to achieve business objectives.
Prepare and present MIS, dashboards, operational reviews, and business performance reports to senior leadership.
Required Experience
15+ years of experience in US Healthcare RCM, with strong experience in end-to-end operations.
Proven experience managing large teams / 150+ FTEs.
Solid expertise in AR and Hospital/Physician Billing operations.
Experience handling multiple processes and client accounts.
Solid understanding of P&L;, SLAs, KPIs, productivity, quality, and operational metrics.
Excellent leadership, client management, communication, analytical, and decision-making skills.
Graduate/Postgraduate in any discipline.
Preferred
Experience in US Healthcare BPO / RCM organizations.
Exposure to process transitions, automation, digital transformation, and current client implementations.
Strong experience in managing senior leadership and client stakeholders.
Work Location: Hyderabad | US Night Shift | Work from Office
📌 Rcm General Manager Hyderabad
🏢 Eclat Health Solutions
📍 Hyderabad