General Manager – Revenue Cycle Management

The General Manager – RCM is the senior-most operations leader at Acurus and owns the performance, people, compliance, and transformation of the India revenue cycle operation. This person is accountable for the financial outcomes Acurus delivers to Akido: collections, AR health, denial prevention, and cost-to-collect. They run Acurus as a business, not just a production floor.

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, AR follow-up, denial management, appeals, credit balance resolution, and patient statement support; Deliver against agreed KPIs and SLAs; Drive root-cause analysis on denials and underpayments; Manage payer-specific complexity across Medicare, Medi-Cal and other Medicaid programs, Medicare Advantage, commercial payers, IPA/MSO capitated arrangements, and workers' compensation; Oversee write-off governance; Lead the monthly business review process with Akido leadership; Run a disciplined operating cadence; Maintain accurate MIS reporting; Maintain current, auditable SOPs; Lead, develop, and retain a large multi-layer team; Own workforce planning; Build structured training programs; Partner with Akido's IT, product, and automation teams to implement automation opportunities; Redesign workflows and roles as automation is introduced; Support EHR/PM system transitions and data migrations; Ensure compliance with HIPAA, HITECH, and Akido's privacy and information security policies; Support internal and external audits; Maintain quality management systems; Ensure compliance with applicable Indian labor laws; Own the Acurus operating budget; Identify efficiency gains; Partner with finance on cost allocation and reporting; Serve as primary point of accountability for RCM with Akido's US leadership

Requirements

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

Nice to have

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; Analytical rigor; Transformation mindset; People leadership; Integrity and compliance; Executive presence; Resilience