Job Summary:

We are looking for an experienced Senior Manager to lead Epic Resolute Professional Billing (PB) operations for US healthcare clients. The role involves managing end-to-end Provider RCM operations, improving productivity and quality, reducing claim denials, ensuring SLA compliance, and driving client satisfaction.

Key Responsibilities:

- Lead end-to-end Epic Resolute Professional Billing operations.

- Manage Charge Review, Claim Edits, AR, Denial Management, Credit Balances, and Payment Posting.

- Drive productivity, quality, SLA adherence, and revenue cycle performance.

- Monitor KPIs, identify process gaps, and implement continuous improvements.

- Lead and develop operational teams, including managers and team leaders.

- Manage client relationships, operational reviews, and escalations.

- Ensure compliance with HIPAA requirements and client-specific policies.

Required Qualifications:

- Bachelor's degree in a relevant discipline; Master's degree preferred.





- 812 years of experience in US Healthcare RCM.

- Minimum 35 years of hands-on experience in Epic Resolute Qualified Billing (PB).

- Proven experience managing end-to-end Provider RCM / Professional Billing operations.

- Strong knowledge of Charge Review, Claim Edits, AR, Denials, Credit Balances, and Payment Posting.

- Experience in team leadership, client management, SLA management, and process improvement.

- Good understanding of US healthcare claims, CPT, ICD-10-CM, and payer reimbursement processes.

Preferred Qualifications

- Epic Resolute Qualified Billing certification.

- Experience managing offshore RCM operations.

- Lean Six Sigma certification or exposure to automation and analytics.

Interested candidates with strong Epic Resolute PB and US Provider RCM experience are encouraged to apply.

📌 Senior Manager - RCM Operations (Epic Resolute PB) (Bengaluru)
🏢 LogixHealth
📍 Bengaluru