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Manager RCM- AR process
Manager RCM- AR processConfidential • India, Cochin / Kochi / Ernakulam
Manager RCM- AR process

Manager RCM- AR process

Confidential • India, Cochin / Kochi / Ernakulam
2 days ago
Job description

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.
  • Skills Required

    Payment Posting, charge entry , Cpt

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    Manager Manager • India, Cochin / Kochi / Ernakulam

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