RCM Manager - Medical Billing - US Healthcare (HBR Layout)

RCM Manager - Medical Billing - US Healthcare (HBR Layout)

04 Oct
|
MedVoice Healthcare Solutions
|
HBR Layout

04 Oct

MedVoice Healthcare Solutions

HBR Layout

Location: HBR Layout, Bengaluru

Experience: 8–12 years in US Healthcare RCM and Medical Billing

Management Experience: Minimum 4–5 years in Operations Manager / Assistant Manager role

Team Size: Experience managing 30–100+ employees preferred

We are looking for an experienced RCM Manager with solid hands-on experience in US Healthcare Medical Billing and end-to-end Revenue Cycle Management (RCM).

The ideal candidate should have a proven track record of managing RCM operations, leading Team Leads/Managers, handling client relationships, and delivering productivity, quality, SLA, and financial targets.

Mandatory Requirements

- Strong understanding of end-to-end US Healthcare RCM
- Experience managing multiple RCM processes and large-volume operations
- Strong client-facing and communication skills
- Experience handling client calls, escalations, operational reviews, and business reviews
- Experience with US healthcare PM/EHR systems; AdvancedMD experience is preferred
- Experience in physician, hospital, or multi-specialty billing

Key Responsibilities
- Manage end-to-end US Healthcare RCM / Medical Billing operations, covering front-end, mid-cycle, and back-end functions.
- Oversee functions such as Patient Registration, Insurance Verification, Prior Authorization, Charge Entry, Coding coordination, Payment Posting, AR Follow-up, Denial Management, Appeals, and AR Recovery.
- Manage Team Leads, Managers, and large operations teams to achieve productivity, quality, SLA, and client KPIs.




- Monitor operational and financial metrics including AR aging, collections, denials, productivity, quality, and reimbursement performance.
- Drive initiatives to improve collections, reduce AR aging and denials, and improve overall revenue performance.
- Manage client relationships, participate in client calls and business reviews, and ensure delivery against contractual SLAs and KPIs.
- Handle escalations, audits, compliance issues, and operational risks.
- Lead workforce planning, capacity planning, forecasting, and resource allocation.
- Prepare and present MIS, operational dashboards, performance reports, and management reviews.
- Identify process gaps and drive RCA, CAPA, Lean/Six Sigma, and continuous improvement initiatives.
- Work closely with Quality, Training, Coding, IT, and Client Management teams.
- Identify opportunities for workflow optimization, automation, and operational efficiency.

Candidates Who Should Not Apply This position is not intended for candidates whose experience is limited to:

- AR Calling / AR Follow-up only
- Medical Coding only
- Credentialing only
- Payment Posting only
- General BPO Operations without US Healthcare RCM experience

Only candidates with substantial US Healthcare Medical Billing/RCM Operations Management experience will be considered. Eligible candidates can apply here or share your updated resume with [email protected] or connect using the No. (phone hidden)

Pay: ₹60,000.00 - ₹90,000.00 per month

Benefits

- Paid sick time

Work Location: In person

📌 RCM Manager - Medical Billing - US Healthcare (HBR Layout)
🏢 MedVoice Healthcare Solutions
📍 HBR Layout

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