Manager RCM- AR process

Job SummaryThe Manager – Physician Billing RCM Operations is responsible for overseeing all operational, administrative, and project-related functions supporting Wave Online’s physician billing business unit in Kochi.This role leads multispecialty RCM teams handling charge entry, payment posting, credentialing coordination, AR follow-up, denial management, and client communications. The Manager ensures operational excellence, client satisfaction, financial performance, and seamless execution of RCM workflows across the business unit.Key Responsibilities Operational Leadership & Business Administration- Direct day-to-day operations for multispecialty physician billing teams including charge entry, coding coordination, billing, payment posting, and AR follow-up.- Oversee compensation planning, budgeting, expense management, and operational KPIs.- Serve as point of escalation for complex billing, operational challenges, and payer issues.- Maintain smooth facility operations and support for onsite/remote/hybrid workforce.Physician Billing RCM Management- Ensure accurate, timely processing of charges, payments, adjustments, and patient balances across various specialties (e.g., internal medicine, radiology, cardiology, ortho, urgent care, etc.).- Oversee claim creation, clearinghouse rejections, payer edits, insurance verification, and credentialing coordination.- Lead AR and denial management teams to improve recovery rates and reduce aging.- Identify payer trends, compliance risks, and opportunities for improvement.Client Management & Customer Experience- Maintain strong communication with clients, resolving escalations and providing performance insights.- Respond quickly to client inquiries, operational questions, and requests for information.- Monitor client SLAs, revenue trends, AR performance, and service quality.- Support onboarding of new physician groups and ensure smooth transitions into production.Process Improvement & Scalability- Implement process improvements to increase accuracy, reduce denials, and strengthen billing performance.- Standardize physician billing workflows and documentation best practices.- Optimize cross-team collaboration between coding, billing, AR, credentialing, and reporting teams.- Scale workforce to support new accounts and high-volume specialties.Project Management & Strategic Initiatives- Lead cross-functional projects to enhance efficiency, compliance, and client outcomes.- Collaborate with leadership on automation, reporting enhancements, and strategic growth initiatives.- Ensure compliance with payer guidelines, CMS rules, and specialty-specific billing requirements.People Leadership & Team Development- Identify, recruit, and retain high-performing RCM talent.- Set clear team and individual KPIs for accuracy, productivity, and turnaround time.- Allocate workload to maximize skills and capacity of each team member.- Deliver ongoing coaching, training, and performance development.- Address performance issues promptly and professionally.- Promote team spirit, recognition, and transparent communication on progress and expectations.Required Skills & Competencies- Strong understanding of multispecialty physician billing, CPT/HCPCS, modifiers, payer rules, and denial codes.- Experience managing charge entry, payment posting, credentialing workflows, and AR/denials for physician practices.- Excellent client-handling, communication, and problem-solving skills.- Ability to analyze KPIs, financial performance, denial trends, payer reimbursement patterns, and operational data.- Strong leadership, team management, and project execution capability.Qualifications- Bachelor’s degree in Business, Healthcare Administration, or related field (preferred).- Completion of medical billing training or equivalent practical experience is required.- 12+ years relevant experience in medical billing/physician RCM (preferred).- 5+ years hands-on billing experience including charge posting, payment posting, eligibility, and insurance follow-up.- 4–7 years leadership experience managing RCM teams (mandatory).- Exposure to multiple EHR/PM systems (Allscripts, Athena, eClinicalWorks, NextGen, Kareo, AdvancedMD, Epic, etc.) is a strong plus.Why Join Wave Online?- Be part of a fast-growing global RCM organization.- Lead high-impact teams and influence client financial outcomes.- Competitive compensation and growth opportunities.- Innovation-driven environment with strong leadership support.Contact:Rajalakshmi Kannan – | Modhimol – | Sulaiman - |