RCM Success Manager

ESSENTIAL FUNCTIONS

Serve as the primary RCM strategic partner for assigned markets and physician groups
Monitor and analyze key performance indicators including charge lag denial rates AR aging AR >90 days and net collection rate
Lead monthly and quarterly revenue cycle reviews with market leadership and providers
Identify root causes of revenue leakage and assist in developing corrective action plans
Drive reduction in controllable denials through payer-specific analysis and operational collaboration
Partner with cross-functionally with key revenue cycle stakeholders to proactively identify and resolve issues impacting revenue integrity and reimbursement performance.
Support new market onboarding and RCM ASA integrations
Escalate systemic issues to executive leadership with proposed solutions
Participate in cross-functional revenue cycle initiatives and performance improvement projects

EDUCATION

Preferred:
BA or BS Degree
CPC CPB CRCR or other revenue cycle certification preferred

EXPERIENCE

Minimum 57 years of progressive experience in healthcare revenue cycle management
Experience working with physician practices ambulatory surgery centers or musculoskeletal service lines preferred
Demonstrated experience analyzing financial and operational performance metrics
Experience leading cross-functional initiatives and presenting to executive leadership

REQUIREMENTS

Ability to travel periodically to assigned markets
Strong understanding of payer reimbursement methodologies including Medicare Advantage Commercial Medicaid and Workers Compensation
Advanced proficiency in Microsoft Excel and reporting tools
Ability to manage multiple markets and priorities simultaneously

KNOWLEDGE

Revenue cycle workflows from front-end through denial resolution and collections
CPT/HCPCS coding fundamentals and modifier usage
Accounts receivable management strategies
Regulatory compliance related to revenue cycle operations
SKILLS

Advanced analytical and financial interpretation skills
Executive-level presentation and communication skills
Strong problem-solving and critical-thinking abilities
Data visualization and dashboard development
Cross-functional collaboration and relationship management
Project management and organizational skills

ABILITIES

Ability to translate complex financial data into actionable insights
Ability to build trust with providers and operational leaders
Ability to prioritize high-impact initiatives in fast-paced environments

ENVIRONMENTAL WORKING CONDITIONS

Remote work environment
Periodic travel to practice locations
Frequent computer use and virtual meeting participation

Required Experience:

Manager