Senior RCM Operations Manager - AI-Enabled, Remote

yGen Innovations Inc; Metro Manila; Remote; PHP 3,776,000 - 5,664,000; Full time

Benefits offered by this job

Performance bonus

HMO coverage

13th-month pay

Certification sponsorship

Job summary

Clicktek Consulting and yGen Innovations are building an AI-enabled RCM operation for US healthcare clients. We seek a seasoned RCM Operations Manager with hands-on experience in A/R follow-up, denial management, and scaling an RCM team from the ground up.

You will own client SLAs, develop payer playbooks, and lead the delivery team while supporting discovery calls and pricing discussions. This remote, nightshift role is Philippines-based and open to hybrid arrangements.

Qualifications

• 10+ years in US healthcare RCM with 5+ years in operations leadership.
• Deep hands-on expertise in A/R follow-up and denial management across Medicare, Medicaid, and commercial payers.
• Experience building or scaling an RCM team of 50+ people, ideally including launching a new account or site.
• Direct US client-facing experience: SLA reviews, escalations, onboarding, and quarterly business reviews.
• Strong knowledge of major PM/EHR and clearinghouse systems.

Responsibilities

• Run end-to-end RCM delivery across eligibility and benefits, prior authorization, charge entry, claim submission, payment posting, A/R follow-up and denial management.
• Own client SLAs and KPIs including DSO, clean-claim rate, denial overturn rate, net collection rate, and productivity targets.
• Build SOPs, payer-specific playbooks, and QA frameworks to drive root-cause analysis and reduce repeats.
• Hire, train, and lead the delivery team with a structured US-payer training program and career ladder.
• Join discovery calls and support pricing conversations with prospective US clients as the delivery expert.
• Run weekly client reports and quarterly business reviews; act as senior escalation point for account issues.
• Ensure HIPAA compliance and SOC 2 readiness; partner with compliance lead.
• Collaborate with yGen's AI team to identify automation opportunities and redesign workflows.

Skills

US Healthcare RCM

Operations leadership

A/R follow-up

Denial management

Client-facing experience

Tools

Epic

athenahealth

eClinicalWorks

AdvancedMD

Availity

Waystar

RPA Automation Tools

Job description

Clicktek Consulting and yGen Innovations are building an AI-enabled RCM operation for US healthcare clients. We seek a seasoned RCM Operations Manager with hands-on experience in A/R follow-up, denial management, and scaling an RCM team from the ground up.

You will own client SLAs, develop payer playbooks, and lead the delivery team while supporting discovery calls and pricing discussions. This remote, nightshift role is Philippines-based and open to hybrid arrangements.