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 (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.