RCM Manager
RCM Manager
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Job Description
The RCM Manager will play a key role in supporting the Director of Revenue Cycle by overseeing day-to-day operations driving process improvements and ensuring efficient and accurate billing and collections. This role requires strong leadership operational expertise and the ability to build accountability within the team to achieve performance and quality standards.
Key Responsibilities
Revenue Cycle Support & Strategy
Partner with the Director to develop implement and refine revenue cycle strategies processes and improvement initiatives.
Ensure continuous optimization of billing and collections to maximize revenue.
Operational Oversight
Coordinate with Revenue Cycle supervisors and managers to streamline claims submission processes.
Perform internal audits of high-value and high-risk claims to identify gaps and drive revenue optimization.
Monitor and review all revenue cycle interfaces recommend solutions and support the implementation of process enhancements.
Compliance Policies & SOPs
Keep staff and clients updated on billing SOPs policies and protocols.
Ensure revenue cycle policies and procedures are regularly reviewed updated and clearly communicated across the team.
Performance Management & KPIs
Establish and enforce KPIs with a focus on reducing turnaround times improving productivity and maintaining quality metrics.
KPI benchmarks include:
Accounts receivable over 120 days: <10%
Rejection resubmission: <7 business days
Communicate operational bottlenecks and escalate when needed to prevent delays.
Track analyze and report on productivity to ensure processors meet or exceed targets.
Denials & Error Prevention
Coordinate with providers on medical necessity-related denials and implement preventive measures.
Compile and analyze billing error data and develop corrective action plans to reduce errors.
Training & Development
Conduct training sessions for staff on RCM functions SOPs and performance standards.
Provide coaching mentorship and professional development opportunities to direct reports.
Promote accountability ownership and alignment with organizational vision mission and values.
Leadership & Reporting
Prepare audit reports and performance dashboards for leadership review.
Anticipate operational challenges recommend solutions and ensure leadership is updated on performance outcomes.
Participate in special revenue cycle projects and payer contract reviews as assigned.
Qualifications & Skills
Bachelors degree in Business Administration Healthcare Administration Finance or related field (Masters preferred).
5 years of progressive experience in healthcare revenue cycle management with at least 23 years in managerial position
Proven success in managing RCM.
Required Experience:
Manager
Employment Type
Full-Time
