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Acurus Solutions

General Manager - Revenue Cycle Management

Business & StrategyUpdated on Nov 12
Full-timeChennai, Tamil Nadu, IndiaNo salary listed

About the Job

Requirements

  • A bachelor's degree in commerce, business, life sciences, or a related field is required.
  • At least 15 years of experience in US healthcare revenue cycle management, including at least 5–7 years in a senior leadership role running an offshore RCM operation.
  • Experience leading teams of 150 or more full-time equivalents, including managers and team leads.
  • Deep, hands-on knowledge of the end-to-end US revenue cycle for physician or professional billing in a multi-specialty setting.
  • Strong working knowledge of Medicare, Medicaid, Medicare Advantage, managed care or capitation, and commercial payer rules.
  • A proven track record of improving accounts receivable days, collections, and denial rates with measurable results.
  • Experience presenting to and managing US executive stakeholders.
  • Strong command of RCM metrics and data, high proficiency in Excel, and comfort with business intelligence and reporting tools.
  • Excellent written and spoken English.
  • Ability to regularly overlap with US business hours, including early morning or late evening India Standard Time calls.

Responsibilities

  • Own end-to-end delivery of Acurus RCM services, including eligibility and benefits verification, prior authorization support, charge entry, medical coding support, claim submission and scrubbing, payment posting (ERA and manual), accounts receivable follow-up, denial management, appeals, credit balance resolution, and patient statement support.
  • Deliver against agreed key performance indicators and service-level agreements, including net collection rate, days in accounts receivable, aged accounts receivable, clean claim rate, first-pass resolution rate, denial rate by category, posting lag, charge lag, and touch-to-resolution metrics.
  • Drive root-cause analysis on denials and underpayments and translate findings into upstream fixes with US clinic operations, coding, and credentialing teams.
  • Manage payer-specific complexity across Medicare, Medi-Cal and other Medicaid programs, Medicare Advantage, commercial payers, IPA/MSO capitated arrangements, and workers' compensation.
  • Ensure claims are routed through efficient channels, payer mapping is accurate, and clearinghouse rejections are worked promptly.
  • Oversee write-off governance and ensure adjustments follow approved policy and thresholds and are supported by documentation.
  • Lead the monthly business review process with Akido leadership, presenting performance, trends, risks, and improvement plans using clear, data-backed narratives.
  • Run daily production huddles, weekly performance reviews, and monthly or quarterly business reviews.
  • Maintain timely and accurate management information system reporting on productivity, quality, inventory aging, and financial outcomes, ensuring a single source of truth with the US team.
  • Define and maintain the division of responsibilities between the US RCM team and Acurus, including escalation paths, handoffs, and ownership of exceptions.
  • Maintain current, auditable standard operating procedures, desk-level procedures, and process maps for every workstream.
  • Lead, develop, and retain a large multi-layer team, build a strong bench of managers and team leads, and create succession plans for every critical role.
  • Own workforce planning, including capacity modeling, hiring plans, shift design, and full-time-equivalent redeployment as volumes shift or automation reduces manual work.
  • Maintain attrition, absenteeism, and engagement at or better than industry benchmarks for Chennai healthcare business process outsourcing.
  • Build structured training programs covering new-hire onboarding, payer and specialty refreshers, compliance, and upskilling into analytics, automation support, and complex denials.
  • Foster accountability, ownership, and continuous improvement through fair, transparent, and consistent performance management.
  • Partner with Akido's IT, product, and automation teams to identify, prioritize, and implement automation opportunities, including robotic process automation, artificial intelligence agents, voice AI for payer calls, auto-posting, intelligent work queues, and denial prediction.
  • Redesign workflows and roles as automation is introduced, shifting the team from high-volume manual processing to exception handling, oversight, and analytics.
  • Evaluate and support adoption of new RCM tools and vendors, providing an operational perspective on fit, effort, and return on investment.
  • Support electronic health record and practice management system transitions, data migrations, and new clinic or acquisition onboarding with minimal disruption to cash flow.
  • Ensure compliance with HIPAA, HITECH, and Akido's privacy and information security policies, including access controls, protected health information handling, clean-desk policies, and incident reporting.
  • Support internal and external security, quality, payer, and client audits and maintain audit-ready documentation.
  • Maintain and strengthen quality management systems, including quality assurance sampling, error categorization, calibration, and corrective action plans.
  • Ensure compliance with applicable Indian labor laws, statutory requirements, and company HR policies in partnership with HR and legal.
  • Own the Acurus operating budget, including headcount, facilities, technology, and overhead, and manage to cost-per-FTE and cost-to-collect targets.
  • Identify efficiency gains and present business cases for investment.
  • Partner with finance on accurate cost allocation and reporting to Akido.
  • Serve as the primary point of accountability for RCM with Akido's US leadership.
  • Build trusted, transparent relationships with the US RCM Director, clinic operations leaders, IT, finance, and compliance.
  • Escalate risks early and present options for resolution.
  • Work on-site at the Acurus office in Chennai and make occasional US trips as required.

Desired Qualifications

  • Medi-Cal experience is strongly preferred.
  • An MBA or postgraduate degree in management is preferred.
  • Experience in a captive central business office, rather than only third-party business process outsourcing, is preferred.
  • Experience with NextGen, athenahealth, eClinicalWorks, Epic, or similar practice management or electronic health record systems, and with clearinghouses such as Availity, Waystar, or Change Healthcare, is preferred.
  • Hands-on involvement in robotic process automation, artificial intelligence, or automation programs within RCM is preferred.
  • Certifications such as CPC, CPB, CRCR (HFMA), or Lean Six Sigma Green Belt or Black Belt are preferred.
  • Experience with ISO 9001, ISO 27001, or SOC 2 environments is preferred.
  • Exposure to value-based care, federally qualified health centers, street medicine, or enhanced care management programs is preferred.

About the Company

Acurus Solutions

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