Revenue Cycle Manager – US Physician Billing (athenaOne) | Remote, India

Revenue Cycle Manager – US Physician Billing (athenaOne) | Remote, India

Remote Currently | Pune, Bengaluru or New Delhi-NCR

Full-Time | INR 14-18 LPA CTC | Evening IST

About Remix Medical

• Remix Medical is a physician-owned, US-based multispecialty medical group operating across multiple locations. We provide coordinated specialty and primary care through approximately 7-9 healthcare providers and run our revenue cycle on athenaOne by athenahealth.
• We are hiring a hands-on Revenue Cycle Manager in India to take full responsibility for our day-to-day RCM operation. This person will manage an established India team of approximately 7-9 employees, all reporting directly to the Revenue Cycle Manager.
• You will inherit functioning workflows, processes and team members-not build the operation from zero. However, you will have the authority and flexibility to improve team structure, workflows, reporting, controls and technology as the practice grows.

Please Apply Only If

This is not a general medical-billing supervisor or dashboard-only management position. Candidates must meet all of the following requirements:

• Recent, hands-on experience using athenaOne/athenahealth for US revenue-cycle work.
• At least eight years of US healthcare revenue-cycle experience.
• At least three years directly managing an RCM team.
• Significant US ambulatory or physician-practice billing experience.
• Ability to personally investigate and resolve claims, denials and insurance A/R in athena.
• Experience owning measurable RCM outcomes, including A/R aging, denial rates, clean-claim performance and collections.
• Current residence in Pune, Bengaluru or New Delhi-NCR.
• Ability to consistently work an evening IST schedule with overlap into US Central Time mornings.
• Compensation expectations within the published INR 14-18 LPA CTC range.

Athena experience limited to scheduling, clinical documentation, training, observation or executive oversight does not qualify.

Scope at a Glance

• India team: Approximately 7-9 direct reports
• Practice size: Approximately 7-9 US healthcare providers
• Practice setting: Multispecialty, ambulatory physician group
• Locations: Multiple US practice locations
• RCM platform: athenaOne by athenahealth
• Operating model: Established RCM operation with flexibility to improve and scale
• Reporting line: Directly to US practice leadership
• Work model: Remote currently, with the possibility of transitioning to hybrid or office-based work in the future

The Role

This is the senior operating role for Remix Medical's India revenue-cycle function. You will own the team, workflows, reporting and financial outcomes while serving as the primary RCM partner to US practice leadership.

The right candidate combines operational leadership with genuine hands-on ability. You must be able to manage and develop the team while remaining capable of entering athena to work charges, claim issues, denials, A/R or postings when volume, coverage or complexity requires it.

You will be accountable for outcomes-not simply activity-including clean claims, timely denial resolution, controlled A/R aging and cash collections.

What You Will Own

RCM Operations and Financial Performance

• Own the end-to-end revenue-cycle operation for a multispecialty US physician group.
• Take responsibility for clean-claim performance, denials, A/R aging, payment posting and collections.
• Monitor and improve key RCM metrics, including:
• Clean-claim or first-pass acceptance rate
• Initial denial rate
• Denial overturn and resolution rates
• Days in A/R
• A/R aging by payer and bucket
• Net collection rate
• Charge and payment-posting lag
• Cash collections
• Identify upstream causes of denials, payment delays and rework.
• Implement corrective processes instead of repeatedly treating the same downstream problems.
• Prioritize accounts based on payer, balance, aging, denial reason and timely-filing risk.
• Escalate material financial or operational risks before they affect collections.

Team Leadership

• Directly manage approximately 7-9 India-based RCM employees.
• Allocate daily workloads and athena work queues across the team.
• Set measurable productivity, quality and turnaround-time expectations.
• Audit charge entry, claims, denial work, A/R follow-up and payment posting.
• Coach employees based on documented quality and performance data.
• Lead hiring, onboarding, training and performance management as the team grows.
• Build role coverage and cross-training so that critical workflows do not depend on one employee.
• Maintain clear accountability while creating a professional, respectful and improvement-oriented team culture.

Hands-On Athenahealth Work

• Remain personally capable of working claims, denials and insurance A/R in athenaOne.
• Step into production workflows when required by volume, employee absence or case complexity.
• Investigate and resolve claim edits, holds, kick reasons, rejections and payer denials.
• Review claim history, documentation, payer responses and account notes to determine the appropriate next action.
• Manage athena worklists, queues, saved searches, filters and reporting.
• Support charge review, claim submission and resubmission, insurance follow-up, appeals and payment posting.
• Ensure account notes are complete, accurate and useful to the next person working the account.
• Improve athena workflows and worklist structures as operational needs evolve.

Reporting and US Collaboration

• Serve as the primary point of accountability for RCM performance in India.
• Report directly and frequently to US practice leadership.
• Deliver concise daily or weekly updates covering:
• Collections and cash posted
• A/R aging and movement
• Denial volume and trends
• High-value or high-risk accounts
• Payer issues
• Team productivity and quality
• Operational blockers requiring US action
• Produce clear monthly KPI reporting with trends, root-cause analysis and corrective actions.
• Respond promptly to reasonable ad hoc reporting requests.
• Communicate directly with US leadership, providers and practice staff.
• Surface risks and negative trends proactively rather than waiting to be asked.
• Translate detailed billing issues into clear business explanations and recommended actions.

Process Improvement and Growth

• Evaluate the existing RCM operation and preserve what is working.
• Improve workflows, team structure, controls, reporting and SOPs where necessary.
• Create and maintain documented procedures for core revenue-cycle functions.
• Standardize QA, escalation and account-note requirements.
• Prepare the operation to support additional providers, specialties, locations and team members.
• Recommend practical automation or technology improvements where they create measurable value.

Required Qualifications

• Minimum eight years of US healthcare revenue-cycle experience.
• Minimum three years of direct RCM team-management experience.
• Recent, hands-on athenaOne/athenahealth experience.
• Strong experience with US ambulatory or physician-group billing.
• Demonstrated responsibility for RCM KPIs and financial outcomes.
• Experience managing claims, rejections, denials, appeals, insurance A/R and payment posting.
• Working knowledge of Medicare, Medicare Advantage, Medicaid and major commercial payers.
• Understanding of payer-specific timely-filing, authorization, appeal and reconsideration requirements.
• Working familiarity with CPT, ICD-10-CM, HCPCS and modifiers sufficient to manage RCM operations. Primary coding ownership is not required.
• Ability to analyze A/R and operational data in Excel using pivot tables, lookups, formulas and filters.
• Excellent spoken and written English.
• Experience communicating directly with US-based stakeholders.
• Strong judgment regarding HIPAA, PHI and financial-data handling in a remote environment.
• Bachelor's degree or equivalent relevant professional experience.
• Current residence in Pune, Bengaluru or New Delhi-NCR.

Employment history and qualifications must be verifiable. Candidates are not expected to disclose client information protected by confidentiality obligations.

Preferred Qualifications

• HFMA CRCR, AAPC CPC or CPB, AHIMA CCS, or a comparable billing, coding or RCM credential.
• Experience with multispecialty physician-group billing.
• Experience supporting Medicare, Medicare Advantage, Texas Medicaid and commercial payer populations.
• Experience scaling an offshore RCM operation for a US medical practice.
• Experience creating athena saved searches, worklists, dashboards or workflow improvements.
• Experience building management reports from athena data.
• Experience with athenahealth Marketplace tools, integrated payment processors or Bill.com.
• MBA or comparable management education.

What Success Looks Like

Within the first 90 days, the successful candidate will:

• Establish command of the team, athena workflows, payer mix and current A/R.
• Validate RCM reporting and create a reliable operating baseline.
• Identify the most significant denial, aging and workflow risks.
• Introduce a consistent team-management, QA and reporting cadence.
• Present a practical improvement plan to US leadership.
• Begin resolving the highest-value and highest-risk operational issues.

Longer-term success will be measured by:

• Accurate and timely claim submission
• Lower preventable denial and rejection rates
• Faster denial resolution
• Controlled A/R days and aging
• Reliable payment posting
• Improved collections
• Consistent team productivity and quality
• Clear, proactive communication with US leadership
• Scalable, well-documented workflows

Work Arrangement and Schedule

• Full-time employment in India.
• Remote currently.
• Candidate must reside in Pune, Bengaluru or New Delhi-NCR.
• The role may transition to a hybrid or office-based arrangement in the future with reasonable advance notice.
• A consistent evening IST schedule is required to provide daily overlap with US Central Time mornings.
• This is not an overnight-shift position.
• The regular shift and any daylight-saving-time adjustments will be confirmed during the initial screening process.

Compensation and Benefits

• INR 14,00,000-18,00,000 annual CTC

Final compensation within this range will be based on:

• Depth and recency of hands-on athena experience
• US physician-billing experience
• Team-management scope
• KPI ownership and documented results
• Communication and reporting ability
• Group health insurance for the employee and eligible family members
• Equipment allowance
• Internet and work-from-home stipend
• Performance bonus
• Applicable statutory benefits under Indian law

Applicants should apply only if the published compensation range is compatible with their expectations.

Hiring Process

Shortlisted candidates should expect:

1. Resume and experience review
2. Brief spoken-English and schedule-alignment screen
3. RCM and athena technical interview
4. Live, anonymized A/R or denial-management exercise
5. Interview with US practice leadership
6. Employment and reference verification

Candidates will never be asked to access a current or former employer's athena account or disclose PHI, credentials, screenshots, client-confidential information or proprietary documents.

How to Apply

Submit a current resume that clearly identifies:

• Dates and recency of hands-on athenaOne/athenahealth experience
• US physician-practice or ambulatory RCM experience
• Medical specialties and payer categories supported
• Team sizes and number of direct reports managed
• RCM KPIs personally owned
• Measurable improvements or financial results
• Current location
• Notice period

Generic resumes that do not establish recent hands-on athena experience and direct RCM management responsibility are unlikely to be shortlisted.

Equal Opportunity

Remix Medical evaluates applicants based on job-related qualifications, experience, performance and ability to fulfill the responsibilities of the position. We welcome qualified candidates from all backgrounds.