Hiring Manager/Senior Manager -RCM Operations in Healthrecon Connect

MHealthRecon Connect LLC provides technology-enabled Revenue Cycle Management (RCM) solutions to US healthcare providers. We leverage over 30 years of deep domain expertise, cutting-edge analytics as well as machine learning, Artificial Intelligence and Automated workflows to help improve cashflow, patient outcomes and enable peace of mind for our clients.

At HealthRecon Connect (HRC), we hold ourselves accountable for setting and maintaining high standards. Day after day, we passionately strive for high achievement; for customer delight and thrive on the challenge of high expectations and commitment to excel.

We are looking for a Manager/Senior Manager Operations to lead the Emergency Department/Hospital Medicine/Anesthesia/Radiology vertical of HRC India. Successful candidate will work directly with AVP Operations & VP Operations to deliver on Service levels.

AR Collections & Denials Management :

Manager/Senior Manager Operations Hospital Emergency Department/Hospital Medicine/Anesthesia/Radiology

Role Profile

• Independently manage and be responsible for Hospital ED/HM/Anesthesia/Radiology vertical: managing operational excellence, client relationships and team management
• Function as primary point of contact for the clients under purview and help streamline business operations
• Monitor performance metrics proactively to maintain standards in delivery, prevent issues and take swift corrective action as needed
• Manage client information, periodic updates and management information as agreed
• Monitor team performance and productivity to identify training needs, performance gaps and address them accordingly
• Work closely with QA department to drive accuracy targets. Create action plans for identified gaps
• Solve complex customer service issues by proactively identifying and eliminating root cause barriers to accuracy, productivity, and quality.
• Ensure operations are in line with the HRC Compliance framework requirements
• Review processes, provide feedback and identify areas of improvements as necessary
• Lead location efforts in automation and other solution roll-outs according to company timelines
• Work closely with global leadership in establishing the company Values framework in the location

Person Profile

• Possess a professional background with a Bachelor's Degree / professional qualification
• At least 10 years of total experience of which at least 7 years at people management
• At least 5 to 7 years of Physician / Hospital RCM domain knowledge with responsibility within ED/HM /Anesthesia/Radiology domain
• Demonstrated experience in being responsible for large groups of employees in a complex operational setting
• Proven expertise is working across geographical locations, within KPI, SLA driven environment
• Strong executive presence, including communication skills that enable appreciate of others perspectives and the ability to offer compelling insights and recommendations
• Strong analytical capacity
• Excellent oral and written communication skills and be able to communicate effectively with all levels of management
• True change agent able to lead diverse groups in implementing new programs and ideas.

Work Week:

Monday to Friday

Shift:

Night: 7:30 PM 4:00 AM (IST)

Other Features:

Full-time

US calendar applicable

Please send us your CV to careers@healthreconconnect.com

Medical Billing :

Manager /Senior Manager Operations ED/HM (Emergency Department / Hospital Medicine/Radiology/Anesthesia)

Role Profile

• Independently manage and be responsible for the ED/HM/Anesthesia and Radiology vertical, ensuring operational excellence, client relationships, and team management.
• Function as the primary point of contact for clients and streamline business operations.
• Monitor performance metrics to maintain delivery standards, proactively identify issues, and implement corrective actions.
• Oversee client information, periodic updates, and management reporting.
• Lead team performance management by identifying training needs, addressing performance gaps, and ensuring alignment with quality standards.
• Collaborate with the QA department to drive accuracy targets and create action plans for identified gaps.
• Solve complex customer service issues by eliminating root causes of accuracy, productivity, and quality barriers.
• Ensure compliance with HRC’s regulatory framework and industry standards.
• Identify and implement process improvements and automation initiatives in alignment with company objectives.
• Work closely with global leadership to establish and reinforce company values within the location.
• Oversee medical billing operations, including claim submission, verification of patient information, and charge accuracy.
• Manage payment processing, denial follow-ups, and dispute resolution with insurance companies.
• Ensure compliance with HIPAA regulations and assist patients with billing inquiries or payment plans.
• Stay updated on medical billing regulations and insurance policies.

Person Profile

• Bachelor’s degree or professional qualification.
• At least 10 years of experience, with a minimum of 7 years in people management.
• Extensive expertise (7+ years) in Hospital RCM (Medical Billing, Patient Registration, Denial Management, Eligibility Verification, Charge Entry, Charge Verification, Payment Posting) with a focus on ED/HM /Anesthesia & Radiology.
• Proven ability to manage large teams in a complex operational setting.
• Experience in working across geographical locations within KPI- and SLA-driven environments.
• Strong executive presence with excellent communication skills and the ability to provide strategic insights.
• Proficiency in RCM software, billing platforms, analytics tools, and automation technologies.
• Ability to lead organizational change and implement new programs effectively.

Work Week:

Monday to Friday

Shift:

Day: 8:00 AM – 5:00 PM (IST)

Other Features:

Full-time

US calendar applicable

Candidate must have own laptop/system and internet to perform the work.

Interested candidates kindly send us your updated resume to careers@healthreconconnect.com