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AM InfoWeb

Operations Manager – RCM (US Healthcare)

10-12 Years
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  • Posted 19 days ago
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Job Description

Hiring: Operations Manager – RCM (US Healthcare)

Location: Pune (Work from Office)

Company: AM Infoweb

Shift: 6:30 PM – 3:30 AM (Mon–Fri)

Experience: 10+ Years

About the Role

We are looking for a highly experienced Operations Manager – RCM who goes beyond just managing operations—someone who owns outcomes, drives revenue metrics, and scales teams across multiple accounts.

If you have handled large teams, complex portfolios, and high-pressure revenue environments, this role is built for you.

Key Responsibilities

  • Lead and manage end-to-end RCM operations, with strong focus on Payment Posting & Reconciliation
  • Design and implement robust reconciliation frameworks for healthcare receivables
  • Ensure accurate posting and reconciliation of payments across 835 files, bank statements, and internal systems
  • Collaborate with RCM, Finance, and IT teams to resolve discrepancies and improve workflows
  • Drive process improvements, automation, and efficiency initiatives
  • Develop and maintain SOPs, audit documentation, and reporting frameworks
  • Ensure compliance with HIPAA, CMS regulations, and payer guidelines
  • Manage banking processes including ACH, EFT, lockbox, and wire transfers
  • Provide data-driven insights to leadership on performance and trends
  • Lead, mentor, and scale high-performing teams across multiple accounts

Required Qualifications

  • 10+ years of experience in US Healthcare RCM (Payment Posting & Reconciliation)
  • Strong expertise in 835/837 files, ERA/EFT workflows
  • Proven experience handling multiple RCM accounts and large teams (500–1500 HC)
  • Deep understanding of US banking and reconciliation systems
  • Strong analytical and problem-solving skills
  • Excellent leadership and stakeholder management abilities

Preferred

  • CPA (Certified Public Accountant) with healthcare experience
  • Experience in automation and process optimization initiatives

Why Join Us

  • Opportunity to lead high-impact RCM operations
  • Work with a fast-growing organization in US healthcare services
  • Exposure to large-scale operations and strategic decision-making

Work Location

Cerebrum IT Park, Kalyani Nagar, Pune

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About Company

Job ID: 145617807

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