General Manager, RCM Medical Billing

remote zest jobs; India; On-site; INR 11,472,000 - 15,296,000; Full time

Job summary

ModuleMD, a leading AI-powered EHR and management software provider, seeks a General Manager for RCM Medical Billing. The role involves directing billing operations, governance, and vendor relations, while driving improvements in accuracy and efficiency.

The successful candidate will lead remote teams, collaborate with clients and internal stakeholders, and ensure compliance with payer requirements across geographies. This is a strategic leadership position with global scope.

Qualifications

• Bachelor's degree in Business Administration or related field.
• 5+ years of medical billing or RCM experience, with leadership exposure.
• Strong knowledge of CPT, ICD, and HCPCS codes, payer rules, and reimbursement processes.

Responsibilities

• Set strategy and execute plans for the RCM department.
• Oversee billing teams and provide mentorship to ensure performance.
• Hire, train, and plan for team expansion to support business needs.
• Monitor team KPIs and implement productivity and satisfaction improvements.
• Conduct training to keep staff updated on regulatory, payer, and system changes.
• Ensure compliance with federal, state, and payer-specific requirements.
• Maintain training materials for staff development.

Skills

Medical Billing

Leadership

Financial Analytics

Communication

Remote Leadership

Education

Bachelor's degree in Business Administration

Tools

ModuleMD

Clearinghouses

EHR/PM systems

Job description

Job Title: General Manager, RCM Medical Billing

Location: Remote, reputed company US

Department: reputed company Cycle Management (RCM)

Reports To: CEO

About ModuleMD

ModuleMD is a leading AI-powered EHR and reputed company Management software provider offering integrated reputed company Cycle Management services, with a strong reputed company on Allergy, Immunology, and Respiratory Health. We are on a mission to reputed company practices to reputed company new heights and deliver outstanding reputed company experiences through cutting-edge technology and insightful, knowledge-based services.

Position reputed company

We are seeking a proactive and reputed company reputed company to reputed company our RCM Billing Operations. The Director will reputed company strategies to maximize reputed company, minimize financial risks, ensure compliance with reputed company regulations, and enhance operational efficiency. This role requires a strong leader with deep expertise in reputed company finance, billing systems, and medical coding, combined with excellent communication, management and leadership skills. The ideal candidate will bring strong analytical skills, team leadership capabilities, and a reputed company reputed company to work closely with internal stakeholders, clients, and external partners.

Key Responsibilities

• reputed company and execute the reputed company, reputed company, and operational plans for the RCM department.
• Supervise billing teams including supervisors and billers; reputed company mentorship and leadership to ensure consistent performance.
• reputed company and implement reputed company strategies reputed company with department goals; participate in hiring, reputed company, and succession planning to ensure the billing team can support reputed company expansion and evolving business needs.
• Monitor and reputed company team KPIs; implement strategies to enhance productivity, reputed company, and reputed company satisfaction.
• Conduct periodic training sessions to upskill billing staff and stay updated on regulatory, payer, and system changes.
• Ensure compliance with federal, state, and payer-specific billing requirements, regulations, and reputed company standards.
• Prepare, maintain, and continuously improve training materials for reputed company and ongoing staff development to standardize operations and improve efficiency.

reputed company Engagement & Account Management

• Serve as a primary reputed company of contact for reputed company billing-reputed company queries and escalations.
• Analyze financial and operational data to identify trends, risks, and opportunities for improvement.
• Participate in regular billing health reviews with clients to ensure financial metrics and service expectations are met.
• Build and maintain strong relationships with reputed company providers, reputed company administrators, and external partners.
• Identify and drive improvement in account health KPIs such as AR days, denial rates, and clean claims reputed company.
• Support sales team in reputed company demos and reputed company training for new clients, as needed.

Analysis & Strategic Improvement Planning

• Analyze trends across payors, specialties, codes, and geographies to uncover patterns and improvement opportunities.
• Collaborate with the RCM Tech team to propose, test, and implement innovations that streamline billing processes.
• Work cross-functionally with other internal teams including Support, Implementation, and Compliance to ensure seamless service delivery.

Vendor & External Relations

• Coordinate with key vendors such as clearinghouses to stay informed about product changes, outages, and improvements.
• Act as the relationship manager for key reputed company-party billing infrastructure providers.

Qualifications

• Bachelors degree in Business, reputed company Administration, or reputed company field.
• 5+ years of experience in medical billing or RCM, with at least 2 years in a leadership /management role.
• Strong understanding of CPT, ICD, and HCPCS codes, payer rules, and reimbursement processes.
• Experience with clearinghouses, EHR, and PM systems (ModuleMD experience is a plus).
• Tech-savvy with a strong interest and experience in AI applications in medical billing and a passion for leveraging emerging technologies to drive efficiency, accuracy, and innovation in RCM operations.
• Exceptional analytical skills and proficiency in reputed company or BI tools for trend analysis and KPI tracking.
• Excellent communication, leadership, and problem-solving skills.
• Ability to reputed company in a dynamic, fast-paced, and reputed company environment.
• Proven experience managing remote or geographically distributed billing teams. Strong cross-cultural communication and collaboration skills.

Why Join ModuleMD

reputed company a reputed company impact on reputed company delivery by shaping the financial reputed company of practices.Work