Manager RCM- AR process

Job Summary The 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 – rajalakshmi@wavehca.com | +91 95260 17766 Modhimol – modhimol@wavehca.com | +91 85902 01718 Sulaiman - sulaiman@wavehca.com | +91 95260 19966