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Protocol Intelligence
Data-driven signals on your job's competitivenessMid-level metro operations role with common title but niche RCM/denial coding reduces applicant density.
Requires healthcare RCM, Medicare/Medicaid and coding expertise, limiting cross-industry transferability.
Mandatory CMS 1500/UB04 AR experience and Medicare/Medicaid coding create strict screening filters.
Job Description
Structured overview of role & requirementsAbout This Role
Oversee day-to-day operations of accounts receivable follow-up within the revenue cycle management (RCM) process involving denial management and insurance payment collection.
Manage a team of 80-100 employees including work allocation, on-job support, performance management, and team building.
Ensure compliance with departmental and corporate policies, generate internal and client performance reports, and handle escalations with US clients.
Minimum Requirements
Graduate in any discipline from a recognized educational institute.
Experience with CMS 1500 and UB04 accounts receivable management is mandatory.
Knowledge of Medicare, Medicaid, ICD & CPT codes related to denial management is required.
Work Experience Required: Not explicitly mentioned in the JD.
Ideal Candidate Profile
Experienced in managing large teams (80-100 span of control) within healthcare revenue cycle management, especially AR and denial management.
Familiar with both federal and commercial payor mixes and able to interact effectively with US clients and handle escalations.
Skilled in performance management and strategic work allocation in evolving healthcare settings.