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T3Cogno

Manager AR, RCM

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Job Description

Job Summary

As a Manager in RCM, you will lead and develop a team within the Revenue Cycle Management (RCM) domain, focusing on achieving seamless operations across all verticals. You will be responsible for process-specific KRA/KPIs, efficient AR optimization, and client satisfaction. The role requires an in-depth understanding of the end-to-end RCM process, US healthcare regulations, insurance policies, and coding guidelines, along with a strong track record in team management and client interaction.

Key Responsibilities

  • Oversee all verticals of RCM, ensuring consistent performance across Charge Entry, Payment Posting, Denial Management, AR follow-up, and Patient Calling.
  • Lead employee training, develop plans for growth, and manage performance evaluations.
  • Minimize staff attrition, foster team engagement, and optimize resource utilization.
  • Establish and monitor team performance metrics, ensuring adherence to productivity, quality, and timeliness goals.
  • Conduct regular training sessions, keep the team updated on guidelines and industry changes, and mentor team members.
  • Set clear targets for team leads and associates to meet production and quality objectives.
  • Ensure TAT compliance, maintain process documentation, and timely client communication.
  • Schedule resources based on client needs, adjusting to meet Service Level Agreements (SLAs).
  • Regularly assess service levels and implement strategies to enhance service delivery.
  • Conduct monthly, quarterly, and annual assessments and provide ongoing feedback.
  • Maintain records of client updates and communicate key insights to the team.
  • Approve employee time records and manage time-off requests.
  • Lead weekly and monthly business reviews with clients, provide weekly reporting, and establish effective communication channels.

Mandatory Skills

  • US Healthcare Experience: Proficiency in AR calling, Denial Management, Payment Posting, Charge Entry, Credit Balance, and Authorization.
  • Medical Billing Expertise: Strong knowledge of medical billing, demographics, coding, insurance benefits, and appeal processes.
  • Operations & Team Management: Proven track record in managing and developing high-performing teams.
  • Communication & Presentation: Excellent business communication, presentation, and interpersonal skills.
  • Problem-Solving: Independent thinker with strong analytical skills and problem-solving ability.
  • Client Management: Strong ability to maintain customer and internal relationships, manage performance reviews, and onboard new RCM clients.
  • System Proficiency: High-level proficiency in various EMR/EHR systems, practice management software, and Microsoft Office Suite. Strong knowledge with multiple billing software.
  • Performance Monitoring: Expertise in setting KPIs and analyzing performance data to enhance team output and account performance.
  • Process Improvement: Knowledge of Lean, Six Sigma, or similar methodologies.
  • Large-Scale RCM Experience: Previous experience in large RCM firms is advantageous.

More Info

Industry:Other

Function:Healthcare

Job Type:Permanent Job

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Date Posted: 26/11/2024

Job ID: 101509027

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Last Updated: 26-11-2024 10:54:42 AM