General Manager – Revenue Cycle Management

Job Description

General Manager – Revenue Cycle Management Company: Acurus Solutions Pvt. Ltd. (a wholly-owned subsidiary of Akido) Location: Chennai, Tamil Nadu, India (on-site, with required overlap with US Pacific and Eastern business hours) Reports to: VP of Operations, Akido Key US Partners: RCM Director (US), Global IT Lead, Medical Group Operations leadership Direct Reports: AGM Operations, Process/Delivery Managers, Training Lead, WFM/MIS Lead, HR Business Partner (dotted line) Team Size: 140 FTEs across billing, coding, AR, payment posting, and support functions Employment Type: Full-time, permanent About Us Akido is an AI-native health system operating approximately 100 clinics across California, New York, and Rhode Island, including Chaparral Medical Group, an ~80-physician multi-specialty group serving more than 250,000 patients in California's Inland Empire. Akido's care footprint spans primary and specialty care, managed care populations, and street medicine and Enhanced Care Management (ECM) programs serving some of the most vulnerable patients in the US. Acurus Solutions is Akido's captive central business office (CBO) in Chennai. Acurus delivers end-to-end revenue cycle, front-office, and back-office services to Akido's clinics and is a core part of Akido's strategy to combine skilled people with AI automation to run a best-in-class revenue cycle. Role Summary The General Manager – RCM is the senior-most operations leader at Acurus and owns the performance, people, compliance, and transformation of the India revenue cycle operation. This person is accountable for the financial outcomes Acurus delivers to Akido: collections, AR health, denial prevention, and cost-to-collect. They run Acurus as a business, not just a production floor. This is a hands-on leadership role. The GM must be equally comfortable reviewing a payer denial trend line by line, presenting a monthly business review to US executives, resolving a staffing crisis, and partnering with technology teams to automate work that people do today. The right candidate will bring deep US healthcare RCM expertise, a track record of leading large offshore teams, and genuine enthusiasm for using AI and automation to change how revenue cycle work gets done. Key Responsibilities 1. Revenue Cycle Performance and Delivery Own end-to-end delivery of Acurus RCM services, including eligibility and benefits verification, prior authorization support, charge entry, medical coding support, claim submission and scrubbing, payment posting (ERA and manual), AR follow-up, denial management, appeals, credit balance resolution, and patient statement support. Deliver against agreed KPIs and SLAs, including net collection rate, days in AR, AR over 90/120 days, clean claim rate, first-pass resolution rate, denial rate by category, posting lag, charge lag, and touch-to-resolution metrics. Drive root-cause analysis on denials and underpayments and translate findings into upstream fixes in partnership with US clinic operations, coding, and credentialing teams. Manage payer-specific complexity across Medicare, Medi-Cal and other Medicaid programs, Medicare Advantage, commercial payers, IPA/MSO capitated arrangements, and workers' compensation. Ensure claims are routed through the most efficient channel (electronic vs. paper), payer mapping is accurate, and clearinghouse rejections are worked promptly. Oversee write-off governance, ensuring adjustments follow approved policy and thresholds and are supported by documentation. 2. Operational Governance and Reporting Lead the monthly business review (MBR) process with Akido leadership, presenting performance, trends, risks, and improvement plans with clear, data-backed narratives. Run a disciplined operating cadence: daily production huddles, weekly performance reviews, and monthly/quarterly business reviews. Maintain accurate and timely MIS reporting on productivity, quality, inventory aging, and financial outcomes; ensure a single source of truth with the US team. Clearly define and maintain the division of responsibilities between the onshore (US) RCM team and Acurus, including escalation paths, handoffs, and ownership of exceptions. Maintain current, auditable SOPs, desk-level procedures, and process maps for every workstream. 3. People Leadership and Talent Lead, develop, and retain a large multi-layer team, building a strong bench of managers and team leads with clear succession plans for every critical role. Own workforce planning: capacity modeling, hiring plans, shift design, and FTE redeployment as volumes shift or automation reduces manual work. Maintain attrition, absenteeism, and engagement at or better than industry benchmarks for Chennai healthcare BPO. Build structured training programs covering new-hire onboarding, payer and specialty refreshers, compliance, and upskilling into higher-value work (analytics, automation support, complex denials). Foster a culture of accountability, ownership, and continuous improvemen