Operations Manager – US Medical Billing (RCM)
Location: Hyderabad, Telangana, India
Employment Type: Full-Time
Industry: Healthcare Revenue Cycle Management (RCM)
Company: R1 RCM India
Work Environment: 24×7 Operations (Night Shifts as Required)
Job Overview
R1 RCM India, recognized among India’s Top 50 Best Companies to Work For™ by Great Place To Work® Institute, is seeking an experienced Operations Manager to lead and manage US medical billing operations. This role plays a critical part in ensuring accurate billing, timely account processing, and reduction of payer rejections across healthcare revenue cycle workflows.
The ideal candidate will bring strong operational expertise in US medical billing, payer processes, and team coordination within a fast-paced healthcare services environment.
Key Responsibilities
Manage end-to-end US medical billing operations, ensuring accuracy and adherence to defined turnaround times (TAT)
Oversee billing of medical accounts with a focus on quality, compliance, and payer guidelines
Handle and resolve payer rejections, including Medicare and Medicaid claims, within defined timelines
Monitor productivity, quality metrics, and rejection trends to drive continuous process improvement
Work effectively in a 24×7 operational environment, including night shifts as required
Utilize analytical skills to identify gaps, root causes, and operational improvements
Ensure compliance with internal processes and client-specific billing requirements
Collaborate with cross-functional teams and support leadership in achieving operational goals
Required Qualifications & Experience
Graduate degree in any discipline from a recognized university
6–10 years of experience in US medical billing or healthcare RCM operations, with at least 2–3 years in a supervisory or managerial role
Strong working knowledge of Medicare and Medicaid billing guidelines
Proven experience in managing payer rejections and billing accuracy
Key Skills & Competencies
Strong understanding of US healthcare revenue cycle management processes
Excellent analytical and problem-solving skills
Proficiency in MS Excel, MS Word, and PowerPoint for reporting and analysis
Good written and verbal communication skills
Ability to work collaboratively with team members, peers, and senior leadership
Comfortable working in a high-volume, performance-driven healthcare environment
Why Join R1 RCM India
Part of a globally recognized Great Place to Work® certified organization
Exposure to large-scale US healthcare RCM operations
Inclusive and employee-centric workplace culture
Opportunities for career growth, learning, and leadership development
Competitive compensation and comprehensive benefits package
About the Company
R1 RCM is a global leader in healthcare revenue cycle management, dedicated to simplifying healthcare operations for hospitals, health systems, and physician practices. With a strong presence across India and global delivery centers, R1 RCM empowers professionals to deliver meaningful work that improves patient care and community health outcomes.
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