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Metro location, generalist operations role, and broad skill requirements increase applicant competition.
Healthcare RCM with Medicare/Medicaid and ICD/CPT specialization limits cross-industry transferability.
Explicit 7+ years RCM and payer/coding expertise required, making shortlist filters stringent.
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Manage and oversee a large team (45 to 60 FTEs) ensuring daily operations meet productivity, quality, and SLA targets.
Drive performance improvement by monitoring workflow gaps, managing denial resolution, and leading process stabilization initiatives.
Lead client and leadership engagement including governance forums, escalations, staffing reviews, and operational reporting with accountability for AR performance and quality standards.
Bachelor’s degree is mandatory.
Minimum 7 years of experience in Revenue Cycle Management (RCM).
Knowledge of Medicare, Medicaid, ICD and CPT codes related to Denial Management.
Good communication (oral and written) and analytical skills for AR calling in medical billing process.
Experienced in managing large teams with accountability for operational KPIs and workflow stability.
Strong background in denial management and healthcare billing codes (Medicare, Medicaid, ICD, CPT).
Capable of independently leading operational and client engagement activities including cross-functional collaboration and executive escalation management.