Acurus Solutions Private Limited · Royapettah, Tamil Nadu, India · posted 9/24/2026

About the Role We are seeking an experienced RCM Manager to lead our Professional (CMS-1500) Billing operations across multiple specialties. This role owns end-to-end billing delivery for existing client accounts, drives new client/project implementations, and oversees EDI and ERA enrollment functions. The ideal candidate combines strong operational management skills with deep subject-matter expertise in US healthcare provider billing, and has a track record of leading teams through client transitions and go-lives. Key Responsibilities Operations & Team Management - Manage day-to-day operations of the professional billing team across multiple specialties and client accounts - Set, monitor, and drive team performance against KPIs: clean claim rate, days in AR, denial rate, productivity, and quality/accuracy targets - Conduct regular huddles, one-on-ones, and performance reviews; manage coaching, training, and PIPs as needed - Own workforce planning, shift scheduling, and capacity/utilization management - Build and maintain SOPs, training materials, and quality audit frameworks for the billing function - Escalation point for complex claims, payer issues, and client escalations New Project / Client Implementation - Lead billing workstreams for new client onboarding and transitions, from kickoff through go-live and stabilization - Partner with Implementation, Credentialing, IT, and Coding teams to define timelines, dependencies, and readiness criteria - Oversee PM/EHR system configuration validation, charge master setup, and fee schedule mapping relevant to billing - Drive parallel billing runs, UAT, and go/no-go decisions for new accounts - Identify workflow gaps and implement process improvements during and after transition - Present implementation status, risks, and readiness updates to internal leadership and client stakeholders EDI & ERA Enrollment Oversight - Own the EDI enrollment function across payers and clearinghouses, ensuring timely completion and tracking - Oversee ERA (835) / EFT enrollment processes, ensuring accurate payer setup for electronic payment posting - Manage relationships and escalations with clearinghouse partners (e.g., Availity, Waystar, Change Healthcare, Office Ally, Trizetto) - Review and approve enrollment trackers; ensure SLAs for enrollment turnaround are met - Troubleshoot systemic EDI/ERA issues impacting claim transmission or payment posting across accounts Reporting & Stakeholder Management - Prepare and present operational dashboards and MBRs/QBRs to internal leadership and clients - Analyze denial trends, AR aging, and root causes; drive corrective action plans - Ensure compliance with HIPAA, payer regulations, and internal quality standards - Act as primary liaison between the billing team, client stakeholders, and internal support functions (Credentialing, Coding, IT, AR/Denials) Required Qualifications - [8+] years of experience in US Healthcare Professional (Physician) Billing / RCM, with at least 3+ years in a supervisory or management role - Demonstrated experience managing multi-specialty billing operations - Proven experience leading new client/project implementations or transitions in an RCM environment - Strong working knowledge of EDI, ERA, and EFT enrollment processes with payers and clearinghouses - Solid understanding of the full RCM cycle: charge entry, claims submission, denial management, AR follow-up, payment posting - Experience with practice management/EHR systems NextGen, Officeally and E-Clinical Works - Strong knowledge of payer-specific billing guidelines (Medicare, Medicaid, Commercial, Workers' Comp) - Proven ability to manage teams of [15+] FTEs in a production/BPO environment - Strong Excel/reporting skills; experience with dashboards (Power BI, Tableau, or similar) is a plus Preferred Qualifications - Experience managing multiple clearinghouse relationships and enrollment escalations - Prior experience in a BPO/KPO environment supporting US healthcare clients - Exposure to Six Sigma/Lean process improvement methodologies Skills - Strong leadership, coaching, and people-management skills - Excellent client-facing communication and presentation skills - Analytical mindset with strong problem-solving and decision-making abilities - Ability to manage multiple accounts, specialties, and implementations concurrently - High attention to detail with a strong compliance and quality orientation (HIPAA) - Comfortable operating in a fast-paced, deadline-driven environment

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