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Protocol Intelligence
Data-driven signals on your job's competitivenessGeneralist operations title, metro location, and moderate brand presence increase applicant competition.
Strong healthcare RCM domain knowledge required (Medicare/Medicaid, CPT), limiting cross-industry transferability.
Mandatory AR/denial expertise, CMS forms and Medicare/Medicaid knowledge enforce strict selection filters.
Job Description
Structured overview of role & requirementsAbout This Role
Oversee day-to-day operations of Accounts Receivable (AR) follow-up including denial management through payment collection cycle.
Manage a team of 80 to 100, responsible for work allocation, performance management, and client/internal reporting.
Ensure compliance with departmental and corporate policies, handle US client escalations, and maintain expertise in Medicare, Medicaid, ICD & CPT codes related to denials.
Minimum Requirements
Must have hands-on experience in CMS 1500 and UB04 AR processing and denial management.
Strong knowledge of all AR scenarios, federal and commercial payor mix including Medicare and Medicaid.
Graduate degree in any discipline from a recognized institute.
Work Experience Required: Not explicitly mentioned in the JD.
Ideal Candidate Profile
Experienced in managing large teams (80-100) in healthcare revenue cycle operations, specifically denial management and AR.
Comfortable interacting with US clients and managing escalations with excellent communication skills.
Strong analytical skills with proficiency in MS Office (Word, Excel, PowerPoint) and knowledge of healthcare coding (ICD, CPT).