RCM Jobs in Bengaluru

General Manager Healthcare RCM Operations Job Category: Management Location: Bangalore Job Overview We are seeking an experienced General Manager Healthcare RCM Operations to lead end-to-end Revenue Cycle Management (RCM) operations across multiple clients. This leadership role is responsible for strategic planning, operational excellence, client management, team leadership, compliance, and financial performance, ensuring efficiency, accuracy, and client satisfaction in all RCM functions. Key Responsibilities Strategic Leadership Drive strategy, planning, and execution across all RCM functions including patient access, billing, coding, charge capture, claims processing, payment posting, AR follow-up, and denial management. Develop and implement initiatives to improve collections, reduce denials, and optimize cash flow. Align operational strategies with client expectations, regulatory compliance, and industry best practices. Operational Excellence Oversee large-scale RCM operations across multiple clients/accounts. Monitor key performance indicators (AR days, clean claim rate, denial rate, net collection rate, etc.) and drive continuous improvement. Implement process automation and digital transformation initiatives to enhance operational efficiency. Client & Stakeholder Management Serve as the primary point of contact for client leadership. Build strong client partnerships, ensuring SLAs, TATs, and quality standards are consistently met or exceeded. Manage escalations and drive resolutions with a client-focused approach. Team Leadership Lead, mentor, and inspire a large team of managers, SMEs, and associates across functions. Hire, train, and develop leadership talent to ensure a strong succession pipeline. Promote employee engagement, retention, and a performance-driven culture. Compliance & Quality Ensure strict adherence to HIPAA, CMS guidelines, and client-specific compliance requirements. Establish and maintain robust internal controls and audit processes. Collaborate with Quality and Training teams to maintain high accuracy and performance standards. Financial Management Own the P&L for assigned accounts and operations. Drive cost optimization initiatives without compromising service quality. Provide accurate financial forecasts, budgets, and performance reports to leadership. Key Skills & Competencies Deep expertise in US healthcare RCM (front-end to back-end). Strong knowledge of payer rules, coding guidelines, and HIPAA compliance. Proven experience in managing large-scale operations (250+ FTEs). Client-facing leadership with the ability to build CXO-level relationships. Data-driven decision-making with strong analytical and problem-solving skills. Experience driving digital transformation and automation (RPA, AI in RCM). Excellent communication, negotiation, and stakeholder management capabilities. Success Metrics Improvement in collections and AR performance. Reduction in denials and operational errors. Achievement of SLA and client satisfaction targets. Strong employee retention and a robust leadership pipeline. Profitability and cost optimization in line with business objectives.

Operations Manager Category: Management Type: Full-Time Location: Bangalore Job Overview We are seeking an experienced Operations Manager to oversee end-to-end US Healthcare Revenue Cycle Management (RCM). This role requires a track record in physician/hospital billing and expertise in process transitions. Key Responsibilities Operations: Manage AR/Denials, Charge Entry, and Credentialing. Transitions: Lead projects and develop Standard Operating Procedures (SOPs). Reporting: Utilize Excel and PowerPoint for performance tracking. Leadership: Manage recruitment, training, and team culture. Requirements Experience: 6+ years in US Healthcare leadership. Education: Graduate or Postgraduate degree. Tech Skills: Proficiency in RCM clearinghouse platforms and reporting tools. Qualification : Graduate or Postgraduate degree

About PhonePe PhonePe is India s leading digital payments platform, serving over 500 million registered users and 3.7 million merchants across 99% of India s postal codes. Beyond its leadership in digital payments, PhonePe has diversified into financial services such as insurance, mutual funds, stockbroking, and lending. It has also ventured into adjacent tech-enabled businesses like Pincode for hyperlocal shopping and Indus App Store, India s first localized app marketplace. The PhonePe Group is a growing portfolio of businesses united by a shared mission to provide every Indian with equal access to financial services and unlock opportunities through seamless money flow and services. Our Culture At PhonePe, we foster a work environment that empowers individuals and encourages innovation. We trust our people to take ownership from day one, empowering them to make decisions that drive real impact. If you thrive on solving complex problems, building solutions that touch millions of lives, and collaborating with some of the brightest minds in the industry, PhonePe is the place for you. Role: Finance Associate (Controllership) As part of the Finance team, you will play a pivotal role in ensuring compliance, driving process improvements, and supporting the growth of PhonePe s financial operations. You will focus on RBI reporting, reconciliations, process formalization, and audit management, while collaborating with technology teams to drive automation and system enhancements. Key Responsibilities RBI Reporting & Compliance Ensure compliance with all RBI reporting requirements and conduct periodic reviews. Revenue Reconciliation Reconcile revenue data across multiple internal systems and ensure accuracy. Process Formalization Develop and document Standard Operating Procedures (SOPs) for accounting processes, including necessary accounting treatments. Internal Control and ICFR Prepare Risk Control Matrices (RCM) for both system and manual levels. Lead Internal Control over Financial Reporting (ICFR) reviews with internal and external audit teams, recommending system and process improvements. Audit Management Manage internal and statutory audits, ensuring timely completion and closure. Variance Analysis & Reporting Submit monthly schedules and variance analysis to the Central Controllership team. Finance-Tech Collaboration Drive key programs with technology teams to develop finance-related reporting and operational requirements. Required Experience & Skills Education: Chartered Accountant (CA) with 1 2 years of experience in a Controllership role (preferably in Fintech). Technical Skills: Proficiency in MS Office and experience working with automation tools and large datasets. Soft Skills: Strong problem-solving skills and an ownership mindset. Excellent communication and influencing skills. Ability to collaborate with stakeholders and work as a team player. Qualification : CA with 1-2 year of experience in a Controllership role. Fintech experience will be preferred.