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Metro location, mid-level generalist title but requires niche RCM healthcare denial skills.
Role requires specialized healthcare RCM and denial management knowledge, limiting cross-industry transferability.
Explicit 5+ years RCM requirement and mandatory denial/medical-billing domain knowledge increases filter rigidity.
Manage a team of 15-20 FTEs ensuring daily operations meet productivity, quality, and SLA targets.
Drive KPI metrics, operational performance, process improvements, denial management, and AR optimization through timely follow-ups and issue trend analysis.
Lead team engagement, training, performance tracking, audits, RCA/CAPA initiatives, and handle internal/external communication and escalations.
Bachelor’s degree required.
Minimum 5 years of experience in Revenue Cycle Management (RCM).
Good oral and written communication and analytical skills specific to medical billing AR calling and denial management (Preferred NOA skills).
Experience and knowledge of Medicare, Medicaid, ICD, and CPT codes used on denials.
Experienced in denial management with knowledge of Medicare, Medicaid, ICD, and CPT coding relevant to AR processes.
Has demonstrated ability to lead medium-sized teams in an operational environment with focus on KPI delivery and process improvements.
Comfortable handling audits, RCA/CAPA, training juniors, and driving team engagement and retention in a healthcare RCM domain.