Senior Manager, RCM Operations

Asprcm Solutions; Chennai; On-site; INR 3,500,000 - 5,200,000; Full time

Job summary

Asprcm Solutions in Chennai, India, seeks a Senior Manager, RCM Operations to run a client pod end to end for US clients. This is hands-on operational leadership where the metrics drive the job.

You will own daily AR follow-up, denial management, billing and posting, and report performance clearly to US stakeholders. Mastery of RCM metrics such as net collection rate and days in AR is required.

Qualifications

• Strong working command of RCM metrics and related rates.
• Eight or more years in US healthcare revenue cycle with three+ managing teams.
• Hands-on depth in AR follow-up and denial management, including CARC and RARC interpretation and appeals
• Owned client SLAs and reported performance to US stakeholders
• Familiar with US payer portals, clearinghouses and practice management or EHR systems

Responsibilities

• Pod performance: Own the metric set for your clients: net collection rate, days in AR, AR over 90, denial rate and clean claim rate. Report them accurately and act on them weekly.
• Daily execution: Run the queues: AR follow-up priority, denial work allocation, billing accuracy and posting timeliness. Make sure the highest-value work gets worked first.
• Team leadership: Lead team leads and specialists. Coach on quality, hold the standard, and grow people into the next role.
• Root cause discipline: Track denials to their source and drive prevention rather than repeat rework.
• Client communication: Prepare and present operational updates that are honest and specific, including when the number went the wrong way.
• Process improvement: Find the recurring friction in your pod and fix it with a documented change, not a workaround.

Skills

RCM metrics mastery

AR follow-up

Denial management

CARC/RARC interpretation

SLA ownership

US payer portals familiarity

Team leadership

Operational reporting

Job description

Job Summary

Senior Manager, RCM Operations, Chennai | ASP-RCM Senior Manager, RCM Operations

Run a client pod end to end and own its numbers. This is hands‑on operational leadership where the metrics are the job, not the report.

Full-time On-site, no remote

Reports to the Director of RCM Operations

The role

What this job actually is

RCM metric mastery is mandatory

Mastery of the RCM metric set is mandatory: net collection rate, gross collection rate, days in AR, AR over 90 days, denial rate, first-pass resolution rate, clean claim rate, cost to collect, charge lag and DNFB. You must be able to read them, explain what moves them, and act on them.

You run the delivery pod for a set of US clients: the team, the queues and the numbers. You own daily and weekly execution across AR follow-up, denial management, billing and payment posting, and you report performance that a US client will read. This role requires real command of RCM metrics, because you will be asked why days in AR moved and the answer has to be specific.

Ownership

What you will own

• Pod performance: Own the metric set for your clients: net collection rate, days in AR, AR over 90, denial rate and clean claim rate. Report them accurately and act on them weekly.
• Daily execution: Run the queues: AR follow-up priority, denial work allocation, billing accuracy and posting timeliness. Make sure the highest-value work gets worked first.
• Team leadership: Lead team leads and specialists. Coach on quality, hold the standard, and grow people into the next role.
• Root cause discipline: Track denials to their source and drive prevention rather than repeat rework.
• Client communication: Prepare and present operational updates that are honest and specific, including when the number went the wrong way.
• Process improvement: Find the recurring friction in your pod and fix it with a documented change, not a workaround.

Ramp

Your first 90 days

• First 30 days: Own the numbers for your pod: baseline every metric, understand the client SLA, and identify the top denial reasons and AR buckets driving the trend.
• By day 60: A working weekly cadence, a prioritized AR and denial plan, and the top three root causes in your pod documented with owners.
• By day 90: Measurable movement on at least two core metrics, a stable team cadence, and clean, trusted reporting.

Requirements

What we look for

• Mandatory: strong working command of RCM metrics, net collection rate, days in AR, AR over 90, denial rate, first-pass resolution rate, clean claim rate and cost to collect
• Eight or more years in US healthcare revenue cycle with three or more managing teams
• Hands‑on depth in AR follow‑up and denial management, including CARC and RARC interpretation and appeals
• Has owned client SLAs and reported performance to US stakeholders
• Comfortable with US payer portals, clearinghouses and practice management or EHR systems

Strong plus, not required

• Specialty depth in behavioral health and ABA, hospital and physician, FQHC, therapy or dental
• Experience with underpayment and contract variance analysis
• Process improvement certification

Accountability

How this role is measured

The full client metric set, owned weekly. AR over 90 reduction Denial recovery and prevention Overturn rate and repeat‑denial reduction. Accuracy within the pod. Attrition and internal promotion.

Why ASP‑RCM

Why this seat is different

We are senior‑led by design. A senior partner is named on accounts and shows up in the work, which is why clients renew and why this role carries real authority rather than a title. Our AI suite is in production, not in a roadmap deck, and our compliance posture is independently audited: SOC 2 Type II with HITRUST, ISO 27001 and HIPAA.

We pay for certifications and run upskilling cohorts, because coding and revenue cycle are crafts that need investment. You will work across Dallas HQ, six US states and Chennai, India, with colleagues who have run these functions at scale.