General Manager - Healthcare Operations REF115897P

WNS; Gurugram District; On-site; INR 11,299,000 - 16,949,000; Full time

Job summary

WNS, a Capgemini company, is seeking a senior leader in Revenue Cycle Management to oversee end-to-end processes for the US healthcare sector from our Gurugram delivery center. You will lead billing, coding, eligibility, and collection while ensuring regulatory compliance and optimal revenue performance.

The role requires 10+ years in RCM with hands-on experience managing Billing/AR teams, strong HIPAA/CMS knowledge, and the ability to collaborate with providers, payers, and patients to resolve

Qualifications

• Bachelor's degree in any related field.
• 10+ years in Revenue Cycle Management in the US healthcare.
• Experience leading Billing/AR/coding teams.
• Strong knowledge of HIPAA, CMS and healthcare regulations.
• Experience with provider front RCM; payer front a plus.

Responsibilities

• Oversee end-to-end revenue cycle: registration, eligibility, coding, billing, collection.
• Manage billing and coding teams including hiring and performance reviews.
• Ensure HIPAA/CMS compliance and regulatory adherence.
• Analyze revenue cycle metrics and drive process improvements.
• Collaborate with providers, insurers, and patients to resolve issues.
• Responsible for P&L and GC/GM goals.

Skills

People management

Communication skills

Analytical skills

Revenue cycle knowledge

Leadership

Education

Bachelor's degree

Job description

Job Description:

Company Description

WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries, including Banking and Financial Services, Healthcare, Insurance, Shipping and Logistics, and Travel and Hospitality. We bring together deep domain excellence – WNS’ core differentiator – with AI-powered platforms and analytics to help businesses innovate, scale, adapt and build resilience in a world defined by disruption.Our purpose is clear: to enable lasting business value by designing intelligent, human-led solutions that deliver sustainable outcomes and a differentiated impact. With three global headquarters across four continents, operations in 13 countries, 65 delivery centers and more than 66,000 employees, WNS combines scale, expertise and execution to create meaningful, measurable impact.

Job Description

Oversee the entire revenue cycle process, including patient registration, insurance eligibility & Benefits verification, charge capture, coding, billing, and payment collection/posting (Must have good hands on Basic Claims Adjudication, AR & Denial Management/Appeals Process).Manage a team of billing and coding professionals, including hiring, training, and performance evaluations. Good in People management.Ensure that all coding and billing practices are compliant with government regulations and industry standards, including HIPAA and CMS guidelines.Monitor and analyze revenue cycle metrics to identify areas of improvement and implement process improvements to optimize revenue cycle performance.Work with internal and external stakeholders, including healthcare providers, insurance companies, and patients, to resolve billing and payment-related issues.Stay up-to-date with changes in healthcare regulations, industry standards, and technology to ensure the organization's revenue cycle processes remain efficient and effective.Have a strong hold on Manage internal & or external stakeholders to meet the business objectives/goals.Should have a very good knowledge & Control on Production/Quality & Attrition Management.Work with team on the identified roadblocks / potential problems for processes/procedures and implement possible solutions to avoid any delivery impact.Responsible for P&L and meet monthly/quarterly/yearly GC and GM

Qualifications

Bachelor's degree in any related field.10+ years of experience in Revenue Cycle Management in the US healthcare industry.Should be from a Provider Front RCM Line of Business. Payer front will be considered as a value added.Experience managing a team of Billing Team/AR and/or coding professionals.Strong knowledge of healthcare regulations, industry standards, and technology related to revenue cycle management. Must have a hands-on Physician & Hospital Billing. Exposure in DME & Behavioral health would be a value added.Excellent communication and interpersonal skills, with the ability to build relationships with internal and external stakeholders.Strong analytical and problem-solving skills, with the ability to analyze revenue cycle metrics and identify areas of improvement.

Requirements: