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Strong brand and metro mid-level role but niche RCM skills reduce applicant pool.
Requires healthcare RCM, Medicare/Medicaid and ICD/CPT expertise, limiting cross-industry transferability.
Mandatory 5+ years RCM experience and specific Medicare/ICD-CPT denial management skills increase filter strictness.
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Manage a team of 15-20 FTEs ensuring day-to-day operational stability and delivery against productivity, quality, and SLA targets.
Drive denial management and accounts receivable (AR) optimization including analysis of denial trends and implementation of corrective measures.
Lead process improvements, monitor KPIs, conduct audits with RCA/CAPA, and handle training, escalations, and communication internally and externally.
Bachelor’s degree mandatory.
Minimum 5 years’ experience in Revenue Cycle Management (RCM).
Good communication (oral and written) and analytical skills specific to medical billing AR calling and denial management.
Knowledge of Medicare, Medicaid, ICD & CPT codes used on denials is essential.
Experienced leader capable of managing medium-size teams with accountability for operational performance and compliance.
Strong background in denial management and AR processes within healthcare billing context.
Ability to analyze operational inefficiencies and drive structured process improvements with coaching and team engagement focus.