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Mid-level metro role with common title but healthcare RCM niche reduces applicant density.
Role requires domain-specific Medicare/Medicaid and ICD/CPT knowledge, limiting cross-industry transferability.
Mandatory 5+ years RCM experience plus healthcare denial management and AR skills strongly filter candidates.
Manage a team of 15 to 20 FTEs ensuring day-to-day operational stability, meeting productivity, quality, and SLA targets.
Drive KPI metrics, operational performance, denial management, process improvements, and team engagement/retention.
Oversee inventory and denial trends analysis, implement corrective actions, conduct audits, RCA/CAPA, and support AR optimization through issue resolution and reporting.
Bachelor’s degree is mandatory.
Minimum 5+ years of experience in Revenue Cycle Management (RCM).
Strong knowledge of denial management including Medicare, Medicaid, ICD & CPT codes.
Good communication skills (oral and written) and analytical skills for AR calling in medical billing process.
Experienced in leading and coaching medium-sized teams with focus on operational KPIs and quality standards.
Hands-on expertise in denial management and AR follow-up processes with a problem-solving approach.
Ability to collaborate with internal stakeholders and participate in project launches and process improvements.