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Popular operations title, metro location, broad AR skills required, and unspecified mid-level seniority increase applicant competition.
Highly healthcare-specific revenue cycle, Medicare/Medicaid and denial management skills reduce cross-industry transferability.
Mandatory CMS 1500/UB04 AR and payer-specific denial expertise enforce strict domain filters.
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Manage day-to-day Revenue Cycle Management (RCM) follow-up operations, ensuring compliance with corporate policies and procedures.
Oversee a team of 80-100 employees handling accounts receivable (AR), denial management, and work allocation strategies for CMS 1500 & UB04 forms.
Provide performance management through productivity tracking, quality assurance, client/internal reporting, and escalation handling with US clients.
Graduate degree in any discipline from a recognized institute.
Mandatory experience with CMS 1500 & UB04 AR processes and denial management including Medicare, Medicaid, ICD & CPT codes knowledge.
Experience managing a large team (80-100 span of control) and handling client escalations, specifically US clients.
Work Experience Required: Not explicitly mentioned in the JD.
Experienced in federal and commercial payor mix AR and denial scenarios with strong analytical and reporting skills.
Capable of managing performance metrics, work allocation, and leading large teams in a healthcare RCM setting.
Strong communication skills for effective interaction with US clients, team members, and leadership, including escalation management.