Manager – AR & Collections Operations (Healthcare - RCM)

Location

On-site (India)

Shift Timings

9:30 PM – 6:00 AM IST

About Accounting Bridge

Accounting Bridge is a specialized finance and accounting services firm supporting North American clients across healthcare, professional services, and SMB segments. We work closely with client operations to ensure accurate financial reporting, efficient processes, and strong revenue realization, especially in insurance-driven environments.

Role Overview

We are looking for a Manager – AR & Collections Operations (Healthcare-RCM) to lead a team of 10–15 associates supporting a Canada-based healthcare client.

This is not a plug-and-play role.

This role requires an entrepreneurial, ownership-driven leader who can:

• Build and scale a team from the ground up
• Establish processes, workflows, and SOPs
• Define KPIs, reporting structures, and performance benchmarks
• Independently drive operations with minimal supervision

You will be responsible for end-to-end ownership of AR, Collections, Insurance Coordination, and POS Posting operations, along with team performance, client delivery, and continuous improvement.

Key Responsibilities

1. Team Building & Leadership

• Hire, onboard, and build a team of 10–15 associates
• Define team structure, roles, and responsibilities
• Drive:

Work allocation strategy

Capacity planning

Backup and redundancy planning

• Lead from the front — provide hands-on guidance when needed
• Conduct:

One-on-one sessions

Performance reviews (KRA/KPI driven)

Coaching and mentoring

• Build a culture of ownership, accountability, and high performance

2. AR & Collections Operations Ownership

• Own end-to-end AR and Collections lifecycle
• Establish structured follow-up mechanisms for:

Insurance receivables

Patient balances

• Drive improvements in:

AR aging

Collection rates

Cash flow realization

• Ensure timely closure of ageing buckets and backlog clearance

3. Insurance Coordination & Denial Management

• Set up and manage workflows for:

Claim submission, tracking, and follow-ups

Primary and secondary insurance coordination

• Lead resolution of:

Denials

Underpayments

Partial payments

• Ensure accurate interpretation of EOBs and payer responses
• Drive root-cause analysis and prevention of recurring denials

4. POS Posting & Financial Accuracy Oversight

• Establish controls for accurate posting of:

Insurance payments

Patient payments

• Define guidelines for:

Adjustments and write-offs

Reconciliation processes

• Ensure audit readiness and data accuracy at all times

5. KPI Definition, Reporting & Performance Management

• Design and implement KPIs from scratch, including:

Productivity and utilization

Quality and accuracy

AR days and collection efficiency

Denial and recovery rates

• Build and standardize:

Daily/weekly/monthly reporting dashboards

• Monitor performance and take corrective actions proactively
• Drive accountability through data-backed decisions

6. Client Management & Escalation Handling

• Act as the primary point of contact for client stakeholders
• Set expectations and establish reporting cadence
• Handle escalations independently and drive resolution
• Provide insights and recommendations to improve outcomes

7. Process Setup, SOPs & Workflow Design

• Build processes from the ground up:

SOPs

Checklists

Workflow maps

• Ensure compliance with internal and client requirements
• Identify operational gaps and fix them proactively
• Ensure smooth, uninterrupted workflow and backlog control

8. Quality Control & Operational Excellence

• Establish QA frameworks and audit mechanisms
• Conduct regular quality reviews and feedback loops
• Lead quality and performance review meetings
• Drive continuous improvement across operations

9. Automation & Scaling

• Identify opportunities for:

Process automation

Workflow optimization

• Collaborate with internal teams to implement solutions
• Build scalable systems to support future growth

Required Experience & Skills

Must-Have

• 8–10+ years of experience in Healthcare RCM (AR & Collections)
• 3+ years of team handling experience (10+ members)
• Proven experience in:

Building or scaling teams/processes from scratch

KPI definition and performance management

• Strong expertise in:

AR & Collections

Insurance coordination and claims lifecycle

Denial management

EOB interpretation

• Experience with:

Canada or North American healthcare workflows

Insurance portals and billing systems

POS/payment posting systems

• Strong communication, leadership, and stakeholder management skills

Nice-to-Have

• Exposure to Canadian payer systems
• Knowledge of ICD/CPT codes in claims workflows
• Experience in transitions, process setup, or new client onboarding
• Strong reporting and analytical skills (Excel, dashboards)

Key Success Metrics

• AR ageing reduction and improved collections performance
• Lower denial rates and faster claim resolution
• High posting accuracy and minimal rework
• Strong team productivity and retention
• Effective KPI tracking and reporting systems in place
• High client satisfaction and minimal escalations

Why Join Accounting Bridge

• Opportunity to build and scale a function from the ground up
• High ownership and decision-making authority
• Direct exposure to North American healthcare clients
• Fast-track growth into senior leadership roles

Final Note (Read Carefully)

This role is not for someone who:

• Needs structured environments to operate
• Waits for instructions

This role is for someone who:

• Can build, lead, and scale independently
• Thinks like an owner, not an employee
• Can manage people, processes, and performance simultaneously