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Metro location, common AR team-lead title, and mid-level (5+ years) requirement raise applicant competition.
Role requires RCM and medical billing expertise including ICD/CPT knowledge, limiting cross-industry transferability.
Mandatory 5+ years RCM experience and medical billing/denial management skills increase screening strictness.
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Manage a team of 15-20 FTEs ensuring day-to-day operations meet productivity, quality, and SLA targets.
Drive operational stability by monitoring workflows, identifying gaps, implementing corrective actions, and leading quality audits and RCA/CAPA initiatives.
Lead denial management processes, review inventory and inflow, drive KPI metrics, process improvements, and engage in reporting, escalation, and training activities.
Bachelor’s degree mandatory.
Minimum 5 years’ work experience in Revenue Cycle Management (RCM).
Good oral and written communication skills and analytical skills for AR Calling and Medical Billing Process.
Knowledge of denial management with understanding of Medicare, Medicaid, ICD & CPT codes used on denials.
Experienced in managing mid-sized teams focussing on operational performance and process improvements in AR/RCM domain.
Demonstrated ability to exceed performance targets and prioritize individual and team activities effectively.
Familiarity or experience with denial management including Medicare, Medicaid and coding (ICD & CPT), and handling AR follow-ups.