R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.
With over 30,000 employees globally and a robust presence in India, comprising over 17,000 employees across Delhi NCR, Hyderabad, Bangalore, and Chennai, we foster an inclusive culture where every team member feels valued and empowered. Our mission is to transform the healthcare industry by driving efficiency for healthcare systems, hospitals, and physician practices, continuously striving to make healthcare work better for everyone.
Designation: Operations Manager
Location: Hyderabad
Reports to (level of category): Senior Operations Manager
Role Objective
Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.
Essential Duties and Responsibilities
Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.
Day-to-day operations
People Management (Work Allocation, On job support, Feedback & Team building)
Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP)
Reports (Internal and Client performance reports)
Work allocation strategy
CMS 1500 & UB04 AR experience is mandatory.
Span of control - 80 to 100
Thorough knowledge of all AR scenarios and Denials
Expertise in both Federal and Commercial payor mix
Excellent interpersonal skills
Should be capable of interacting with US clients and manage escalations
Qualifications
- Graduate in any discipline from a recognized educational institute
- Good analytical skills and proficiency with MS Word, Excel and PowerPoint
- Good communication Skills (both written & verbal)
Skill Set
- Candidates should be good in Denial Management
- Candidate should have knowledge of Medicare; Medicaid & ICD & CPT codes used on Denials.
- Ability to interact positively with team members, peer group and seniors.
- Demonstrated ability to exceed performance targets.
- Ability to effectively prioritize individual and team responsibilities.
- Communicates well in front of groups, both large and smal.
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com
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Skills Required
- Graduate degree in any discipline from a recognized educational institute
- CMS-1500 and UB-04 accounts receivable experience
- Thorough knowledge of accounts receivable scenarios and denials
- Expertise with federal and commercial payor mixes
- Denial management experience
- Knowledge of Medicare, Medicaid, ICD codes, and CPT codes used on denials
- Proficiency with Microsoft Word, Excel, and PowerPoint
- Good written and verbal communication skills
- People management and team-building ability
- Ability to manage performance, productivity, quality, KRAs, and PIPs
- Ability to interact with U.S. clients and manage escalations
- Strong analytical and prioritization skills
- Ability to exceed performance targets
R1 RCM Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about R1 RCM and has not been reviewed or approved by R1 RCM.
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Leave & Time Off Breadth — Flexible or unlimited PTO, paid holidays/vacation, and paid volunteer time are highlighted, supporting work-life balance in many roles. Time-off usability is described as workable in many teams, especially in exempt roles.
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Flexible Benefits — Remote work options and flexible schedules are available for many positions, offering convenience and adaptability depending on role and location. Work-from-home eligibility varies by position but is called out as a valued option.
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Career-Linked Recognition & Rewards — Recognition programs such as R1 Stars are implemented to boost engagement and morale. Feedback suggests these programs help reduce turnover and provide acknowledgment beyond base pay.
R1 RCM Insights
What We Do
R1 is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers R1’s proven and scalable operating models seamlessly complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.
