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