RCM Manager - Medical Billing - US Healthcare

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 strong 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 recruiter@medvoiceinc.com or connect using the No. 6364915511

Pay

₹60,000.00 - ₹90,000.00 per month

Benefits

Paid sick time

Work Location

In person