RCM (Medical Billing) - Operations Manager (Kammanahalli)

RCM (Medical Billing) - Operations Manager (Kammanahalli)

13 Sep
|
MedVoice Healthcare Solutions
|
Kammanahalli

13 Sep

MedVoice Healthcare Solutions

Kammanahalli

We are looking for an experienced and result-oriented RCM Operations Manager to lead and manage end-to-end Medical Billing and Revenue Cycle Management (RCM) operations.

Key Responsibilities

- Manage complete Revenue Cycle Management (RCM) operations, including Front-end, Mid-cycle, and Back-end processes.
- Lead Medical Billing functions such as Patient Registration, Insurance Verification, Prior Authorization, Charge Entry, Medical Coding coordination, Payment Posting, AR Follow-up, Denial Management, Appeals, and Accounts Receivable (AR) Recovery.
- Drive productivity, quality, SLA adherence, and client KPIs.
- Develop operational strategies to improve collections, reduce aging, minimize denials, and maximize reimbursements.
- Monitor and analyze operational dashboards, billing reports, revenue trends, and financial metrics.
- Ensure compliance with HIPAA, CMS guidelines, payer regulations, and healthcare industry standards.
- Responsible for client calls, client onboarding, Manage client relationships, conduct business reviews, and ensure high customer satisfaction.
- Lead, mentor, coach, and develop Team Leads and Operations teams.
- Conduct performance reviews, succession planning, and employee engagement initiatives.
- Identify process improvement opportunities using Lean, Six Sigma,



RCA (Root Cause Analysis), CAPA, and Continuous Improvement methodologies.
- Collaborate with Coding, Quality, Training, IT, and Client Management teams.
- Handle escalations, audit findings, compliance issues, and operational risks effectively.
- Drive automation initiatives, workflow optimization, and digital transformation projects.
- Prepare MIS reports, operational reviews, forecasting, capacity planning, and resource allocation.

Preferred Qualifications

- Excellent communication
- 8–12 years of experience in US Healthcare Medical Billing/RCM, with at least 3–5 years in an Operations Manager/ AM role.
- Experience managing teams of 75–300+ employees.
- Solid exposure to physician billing, hospital billing, or multi-specialty billing.
- Hands-on experience with major Practice Management (PM) systems and Electronic Health Records (EHR/EMR). Experience of working in Advanced MD is preferred.
- Ability to manage multiple clients and high-volume operationS.

Interested candidates can apply here/ Share your updated resume with [email protected]/ connect using the no. (phone hidden)

Pay: ₹50,000.00 - ₹100,000.00 per month

Benefits:

- Paid time off

Work Location: In person

📌 RCM (Medical Billing) - Operations Manager (Kammanahalli)
🏢 MedVoice Healthcare Solutions
📍 Kammanahalli

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