Manager – AR & Collections Operations (Healthcare - RCM)

LocationOn-site (India)Shift Timings9:30 PM – 6:00 AM ISTAbout Accounting BridgeAccounting 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 OverviewWe 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 upEstablish processes, workflows, and SOPsDefine KPIs, reporting structures, and performance benchmarksIndependently drive operations with minimal supervisionYou 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 Responsibilities1. Team Building & LeadershipHire, onboard, and build a team of 10–15 associatesDefine team structure, roles, and responsibilitiesDrive: Work allocation strategy Capacity planning Backup and redundancy planningLead from the front — provide hands-on guidance when neededConduct: One-on-one sessions Performance reviews (KRA/KPI driven) Coaching and mentoringBuild a culture of ownership, accountability, and high performance2. AR & Collections Operations OwnershipOwn end-to-end AR and Collections lifecycleEstablish structured follow-up mechanisms for: Insurance receivables Patient balancesDrive improvements in: AR aging Collection rates Cash flow realizationEnsure timely closure of ageing buckets and backlog clearance3. Insurance Coordination & Denial ManagementSet up and manage workflows for: Claim submission, tracking, and follow-ups Primary and secondary insurance coordinationLead resolution of: Denials Underpayments Partial paymentsEnsure accurate interpretation of EOBs and payer responsesDrive root-cause analysis and prevention of recurring denials4. POS Posting & Financial Accuracy OversightEstablish controls for accurate posting of: Insurance payments Patient paymentsDefine guidelines for: Adjustments and write-offs Reconciliation processesEnsure audit readiness and data accuracy at all times5. KPI Definition, Reporting & Performance ManagementDesign and implement KPIs from scratch, including: Productivity and utilization Quality and accuracy AR days and collection efficiency Denial and recovery ratesBuild and standardize: Daily/weekly/monthly reporting dashboardsMonitor performance and take corrective actions proactivelyDrive accountability through data-backed decisions6. Client Management & Escalation HandlingAct as the primary point of contact for client stakeholdersSet expectations and establish reporting cadenceHandle escalations independently and drive resolutionProvide insights and recommendations to improve outcomes7. Process Setup, SOPs & Workflow DesignBuild processes from the ground up: SOPs Checklists Workflow mapsEnsure compliance with internal and client requirementsIdentify operational gaps and fix them proactivelyEnsure smooth, uninterrupted workflow and backlog control8. Quality Control & Operational ExcellenceEstablish QA frameworks and audit mechanismsConduct regular quality reviews and feedback loopsLead quality and performance review meetingsDrive continuous improvement across operations9. Automation & ScalingIdentify opportunities for: Process automation Workflow optimizationCollaborate with internal teams to implement solutionsBuild scalable systems to support future growthRequired Experience & SkillsMust-Have8–10+ 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 managementStrong expertise in: AR & Collections Insurance coordination and claims lifecycle Denial management EOB interpretationExperience with: Canada or North American healthcare workflows Insurance portals and billing systems POS/payment posting systemsStrong communication, leadership, and stakeholder management skillsNice-to-HaveExposure to Canadian payer systemsKnowledge of ICD/CPT codes in claims workflowsExperience in transitions, process setup, or new client onboardingStrong reporting and analytical skills (Excel, dashboards)Key Success MetricsAR ageing reduction and improved collections performanceLower denial rates and faster claim resolutionHigh posting accuracy and minimal reworkStrong team productivity and retentionEffective KPI tracking and reporting systems in placeHigh client satisfaction and minimal escalationsWhy Join Accounting BridgeOpportunity to build and scale a function from the ground upHigh ownership and decision-making authorityDirect exposure to North American healthcare clientsFast-track growth into senior leadership rolesFinal Note (Read Carefully)This role is not for someone who:Needs structured environments to operateWaits for instructionsThis role is for someone who:Can build, lead, and scale independentlyThinks like an owner, not an employeeCan manage people, processes, and performance simultaneously

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