RCM Manager
Careficient, Inc.
- New York, New York, United States
- New York, New York, United States
Über
RCM Manager
Employment Type
Full Time Exempt
Department
Revenue Cycle Management
Salary
Salary
Reports to
VP of RCM
Location
USA – Remote
Job Overview The RCM Manager is responsible for overseeing all revenue cycle activities, including supervising team members, developing and maintaining processes that support the full revenue cycle, and delivering exceptional customer service to clients. This role ensures billing and collection activities are compliant, timely, and accurate, while maintaining adherence to HIPAA privacy and security regulations.
As a key leader within the Revenue Cycle Management (RCM) team, the RCM Manager will collaborate with cross-functional stakeholders and support initiatives that improve revenue cycle performance, operational efficiency, and client satisfaction.
Responsibilities and Duties
Serve as a key member of the revenue cycle leadership team to support and execute critical initiatives
Develop and maintain strong relationships with internal stakeholders, including Finance, Product, Client Success, and Senior Leadership, as well as client leadership teams
Plan and manage team workload to ensure operational efficiency and service quality
Act as a subject matter expert for billing-related issues that impact the revenue cycle
Lead communication across stakeholder groups and provide insights into software-related issues affecting revenue cycle operations
Participate in initiatives that drive performance improvement and strategic objectives
Conduct research and ad hoc analysis to support revenue cycle goals
Monitor and maintain awareness of revenue cycle performance across client accounts
Cultivate strong client relationships through proactive communication and outreach
Maintain and enhance Key Performance Indicators (KPIs) used to monitor account performance in real time
Maintain strong knowledge of Medicare, Medicaid, and private insurance billing guidelines and regulations
Collaborate with RCM leadership to align department resources with client account performance goals
Generate or obtain custom reports necessary for effective client account management
Manage and continuously improve the onboarding and offboarding experience for RCM clients
Utilize system tools and periodic audits to identify at-risk accounts and determine appropriate actions by Careficient and/or the client
Assist in resolving client-related issues and concerns in a timely and professional manner
Exercise sound judgment in decision-making to consistently deliver best-in-class customer service
Develop scalable processes and efficient tools to improve operational efficiency and client engagement
Support additional projects and initiatives as needed
Qualifications
High school diploma or GED required
5+ years of experience in medical revenue cycle management, accounts receivable, or claims resolution
Prior leadership experience within Revenue Cycle Management required
Strong knowledge of Home Health and Hospice billing and regulatory requirements
Proficiency with Microsoft Office Suite
Knowledge of insurance guidelines for Medicare, Medicaid, and commercial payers
Ability to travel based on business needs
Interaction This role works closely with stakeholders across multiple departments throughout the organization. The ability to collaborate effectively with team members and leadership within the Revenue Cycle Management department is essential to success in this role.
Supervisory Responsibilities This role may include supervisory responsibilities in accordance with corporate policies and applicable laws. Responsibilities may include interviewing, hiring, and training employees; planning and assigning work; directing daily activities; evaluating performance; rewarding and disciplining employees; and addressing employee concerns or resolving problems.
Communication and Cognitive Abilities
Collaborate effectively with matrixed team members to achieve goals and complete tasks
Ability to work effectively in ambiguous or high-pressure situations
Self-motivated with strong attention to detail and the ability to seek guidance when needed
Demonstrated flexibility with the ability to quickly adapt to changing priorities and manage multiple tasks
Strong collaboration skills with a focus on process improvement
Exceptional organizational and time management skills
Excellent communication and interpersonal abilities
Ability to quickly learn new technologies and apply them to meet client needs
Ability to work effectively as part of a geographically dispersed team
Ability to work both independently and collaboratively
Stay current on technology trends, developments, and industry best practices
Communicate effectively with both technical and non-technical audiences
Note: This job description is not intended to be all-inclusive. Additional responsibilities may be assigned to meet evolving organizational needs
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Sprachkenntnisse
- English
Hinweis für Nutzer
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