Revenue Cycle Management

Job Title: RCM Manager – Hybrid (US Shift)

Location: Hybrid

Shift: US hours – 8:00 PM IST to 5:00 AM IST

About Synergy Health 360

Synergy Health 360 provides integrated primary and specialty care—on-site and via telemedicine—using a patient-centric, technology-driven model.

What You'll Do

As the RCM Manager, you'll be responsible for overseeing the revenue cycle management processes end-to-end, ensuring that claims are processed efficiently, denials are minimized, and cash flow is optimized.

Key Responsibilities:

• Oversee and manage end-to-end RCM workflows, including registration, charge capture, claim submission, payment posting, denial management, AR follow-up, and patient collections.
• Lead a team of billing specialists (e.g., for wound care, specialty services) to ensure claims are submitted accurately and timely.
• Manage and optimize all processes within Athenahealth/AthenaIDX (i.e., athenaOne), including claims, adjustments, denials, demographics, and reporting.
• Monitor key RCM metrics—AR days, denial rates, clean claim rates—and drive continuous improvement.
• Collaborate closely with clinical, coding, and credentialing teams to resolve discrepancies and reduce denials.
• Ensure compliance with payer rules (CPT, ICD-10/HCPCS), Athena workflows, and healthcare billing standards.
• Implement process improvements and automation (e.g., clearinghouse integration, low-touch workflows) to enhance RCM efficiency .
• Generate regular reports and dashboards for leadership on financial and operational performance.

Who You Are

Experience & Expertise:

• 8+ years of hands-on experience in Revenue Cycle Management within the US healthcare ecosystem (preferably in primary care, wound care, or multi-specialty settings).
• Deep operational knowledge of Athenahealth/AthenaIDX platform—with proficiency in claims submission, AR workflow, denial resolution, reporting, and system administration.
• Strong understanding of US payer rules, coding standards (CPT, ICD-10, HCPCS), and typical RCM challenges like claim rejections and denials.
• Proven experience managing remote teams (preferably in India aligned to US shifts); comfortable working 8:00 PM–5:00 AM IST.
• Excellent leadership, communication, and analytical skills; adept at training staff and driving performance.

Nice-to-Have:

• Experience support-ing wound care billing or similar specialties such as primary care or mental health would be highly advantageous

Why Join Synergy Health 360?

• Be a key player in delivering support for a holistic, patient-centric care model across specialties and digital channels.
• Lead and evolve RCM operations with cutting-edge tools and proven healthcare technology.
• Work remotely, with global team collaboration, and impactful influence on organizational financial health.

Job Type: Full-time

Benefits:

• Paid sick time
• Paid time off

Job Type: Full-time

Application Question(s):

• Do you have at least 8 years of hands-on experience in US healthcare Revenue Cycle Management?
• Have you worked specifically with Athenahealth or AthenaIDX for claims, AR, denials, and reporting?
• What's your expected monthly salary for this role?

Work Location: In person