General Manager – Revenue Cycle Management

Cash & AR

Net collection rate, days in AR, % AR > 90 / > 120 days, cash vs. target

Claims & Denials

Clean claim rate, first-pass resolution rate, denial rate, denial overturn rate, timely filing write-offs

Productivity & Quality

Productivity vs. standard, quality/accuracy %, inventory aging, SLA adherence

People

Voluntary attrition, absenteeism, internal promotion rate, training completion

Cost & Transformation

Cost-to-collect, cost per FTE, hours/FTEs released through automation

Compliance

Audit findings, security incidents, SOP currency

Specific targets will be set with the VP of Operations during onboarding.

• Bachelor's degree in commerce, business, life sciences, or a related field.
• 15+ years of experience in US healthcare revenue cycle management, with at least 5–7 years in a senior leadership role (Senior Manager, AGM, or above) running an offshore RCM operation.
• Demonstrated experience leading teams of 150+ FTEs, including managers and team leads.
• Deep, hands-on knowledge of the end-to-end US revenue cycle for physician/professional billing in a multi-specialty setting.
• Strong working knowledge of Medicare, Medicaid (Medi-Cal experience strongly preferred), Medicare Advantage, managed care/capitation, and commercial payer rules.
• Proven track record of improving AR days, collections, and denial rates with measurable results.
• Experience presenting to and managing US executive stakeholders.
• Strong command of RCM metrics and data, with high proficiency in Excel and comfort with BI/reporting tools.
• Excellent written and spoken English; clear, direct communicator.

• MBA or postgraduate degree in management.
• Experience in a captive CBO (as opposed to only third-party BPO).
• Experience with NextGen, athenahealth, eClinicalWorks, Epic, or similar PM/EHR systems, and with clearinghouses such as Availity, Waystar, or Change Healthcare.
• Hands-on involvement in RPA, AI, or automation programs within RCM.
• Certifications such as CPC, CPB, CRCR (HFMA), or Lean Six Sigma Green/Black Belt.
• Experience with ISO 9001 / ISO 27001 or SOC 2 environments.
• Exposure to value-based care, FQHC, street medicine, or ECM programs.

• Business ownership: Thinks in terms of cash, cost, and outcomes, not just volume and productivity.
• Analytical rigor: Uses data to find root causes and make decisions; challenges assumptions.
• Transformation mindset: Welcomes automation and actively redesigns work around it.
• People leadership: Builds strong teams, develops leaders, and holds people accountable with respect.
• Integrity and compliance: Treats patient data and payer rules with the seriousness they require.
• Executive presence: Communicates crisply and credibly across cultures and time zones.
• Resilience: Stays steady and solution-focused under pressure.

• Based on-site at the Acurus office in Chennai.
• Regular overlap with US business hours (including early morning or late evening IST calls) is required.
• Occasional travel to the US may be required.