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