Director of Denials and A/R Follow-Up Athena Health Platform

Olleya Health India

8 - 13 years

10 - 16 Lacs

bengaluru

Posted:2 hours ago| Platform:

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Skills Required

revenue cycle management us healthcare denial management eob/era processing accounts receivable rcm medical billing denial coding

Work Mode

Remote

Job Type

Full Time

Job Description

Director of Denials and A/R Follow-Up Athena Health Platform

Company:

Location:

About OlleyaHealth

Role Summary

Key Responsibilities

Direct all denial management and A/R follow-up activities for Athena Health clients.
Create SOPs for denial categorization, appeals, and escalation workflows aligned to Athena capabilities.
Manage large teams of A/R specialists and ensure timely resolution of claims.
Identify and address root causes of denials through cross-functional collaboration with coding and billing teams.
Oversee payer correspondence, EOB/ERA processing, and aging analysis.
Develop KPI dashboards tracking DSO, recovery rate, and denial overturn percentage.
Collaborate with automation and analytics teams to implement AI and RPA tools for queue prioritization.
Maintain full HIPAA and payer compliance across all operations.

Qualifications

Minimum
8 years of experience in U.S. medical billing, denials, and A/R
, including
5+ years of hands-on Athena Health experience
in a multi-specialty practice environment.
Proven success leading large denial management or A/R teams.
Expert understanding of payer rules, denial codes, appeals, and resolution workflows.
Strong familiarity with Athena reports, claim status queues, and reconciliation tools.
Excellent communication and leadership skills.
Bachelor’s degree in healthcare administration, business, or related field preferred.

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Director of Denials and A/R Follow-Up Athena Health Platform

bengaluru

8.0 - 13.0 yrs

INR 10 - 16 Lacs

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