Middle Management Operation in PR( AR )

15 - 20 years

14 - 20 Lacs

Posted:2 weeks ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

"Greetings from Logix health"

We are looking for Middle Management Operation in PR End - End Denial Management

Roles and responsibilities,

We are looking for a highly experienced END - END Denial Management to lead and manage Accounts Receivable (AR) operations in a US Healthcare RCM process. The ideal candidate will have strong leadership skills, a deep understanding of denial management and payer follow-up processes, and a proven track record in driving performance across large teams.

Key Responsibilities:

  • Lead End - End Denial Management (50-150 FTEs) focused on insurance claim follow-up, denial resolution, and collections.
  • Monitor team KPIs: AR aging, claim resolution, call quality, productivity & first-pass resolution.
  • Ensure SLA adherence and client satisfaction through timely escalations and issue resolution.
  • Implement QA and CI initiatives to improve accuracy, efficiency, and team productivity.
  • Collaborate with internal stakeholders (billing, coding, training) to reduce denials and rework.
  • Handle team performance reviews, coaching, training, and succession planning.
  • Present operational updates and dashboards to leadership and clients.
  • Ensure compliance with HIPAA and client-specific RCM protocols.

Desired Candidate Profile:

  • 1220 years of experience in US Healthcare RCM, especially in AR calling
  • Minimum 5 years in a team management role, handling 50+ FTEs
  • Strong knowledge of US insurance (Medicare, Medicaid, Commercial), denial codes, and appeals
  • Experience in ED & E&M specialties preferred
  • Hands-on experience with RCM platforms (e.g., EPIC, Athena, eClinicalWorks)
  • Excellent communication, team management, and stakeholder handling skills
  • Certifications in medical billing/coding (CPC, CCS) or Lean Six Sigma preferred

Education:

  • UG: Any Graduate Any Specialization
  • PG: Post Graduation Not Required (preferred if relevant)

If your Interested, please share your profile @ fjabbar@logixhealth.com or bhachandrasekar@logixhealth.com or 9847758250/ 9148557763

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