RCM/OPH Manager

Title: RCM Manager 

MUST LIVE IN ONE OF OUR 18 States: Missouri, Florida, Kansas, Kentucky, Pennsylvania, Virginia, New Jersey, Texas, Minnesota, Michigan, Oklahoma, Alabama, North Carolina, Georgia, Illinois, Ohio, Indiana, Arizona 

Job Summary

The RCM Manager is responsible for managing all activities within the revenue cycle management function for the region. RCM processes include but are not limited to insurance verification, authorizations, patient statements, charge entry/coding, submission of clean claims, collection of patient and insurance receivables, patient and operation communications, and credentialing.

Duties and Responsibilities

• Implement and maintain an efficient workflow within the practices

• Ensure that all employees within the department have received the proper level of training to complete their daily tasks 

• Cross training in other departments to ensure the highest level of accuracy and efficiency.

• Assess new acquisition revenue cycle processes

• Identify opportunities with RCM systems

• Work with the Sr RCM Manager or Director in the development of streamlining processes and maintain accurate and timely billing processes

• Create and implement metrics for productivity and quality

• Ensure adherence to and compliance of payor, government and internal system regulatory policies 

• Monitor key revenue cycle management performance levels for each team member as well as each RCM team

• Conduct routine monitoring and auditing activities to ensure staff production goals and quality of work is met

• Conduct streamlined communication processes with practice RCM teams, Practice Administrators, RCM leadership, and various departments across the organization.

• Carry out supervisory responsibilities in accordance with company policies

• Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.

• Performs other duties that may be necessary or in the best interest of the organization.

Education: 

HS Diploma or GED 

4 Year Bachelor's Degree - (Business, Health Management, Medical Billing, Finance or related field)

Experience Requirement

• 5+ years billing experience with proven leadership ability.

• 5+ years Revenue Cycle experience

• 2+ years Management experience in a corporate setting

• Experience with accounts receivable and understanding of the revenue cycle for payors

Knowledge, Skills and Abilities Requirements

• Detail oriented, professional attitude, reliable

• Management and organizational skills to support the leadership of this function

• Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations

• Interpersonal skills to support customer service, functional, and teammate support needs

• Able to communicate effectively in English, both verbally and in writing 

• Ability for basic to intermediate problem solving, including mathematics

• Intermediate computer operation

• Proficiency with Microsoft Excel, Word, PowerPoint and Outlook 

• Specialty knowledge of systems relating to job function

• Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines

Supervisory Responsibilities:

• Directly supervises team members in the RCM Department

• Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.

• Responsibilities include interviewing, hiring, and training employees, planning, assigning, and directing work, appraising performance, rewarding and disciplining employees, addressing complaints and resolving problems.

Location/Work Environment:

For remote team members, HIPAA compliant home office environment. Ability to work in a remote environment while performing required duties and remaining patient focused. Able to work varying shifts including early mornings/evenings to attend meetings and cross training or support other initiatives

 

We Offer

• Competitive pay and comprehensive benefits including medical, dental, vision, 401k, paid holidays and Paid Time Off.
• Career experiences that provide team members with opportunities for personal and professional growth in a rewarding work environment.
• Opportunities that spark your imagination and ignite your passion to help others.

If you need assistance with this application, please contact (636) 227-2600

EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.

Please do not contact the office directly – only resumes submitted through this website will be considered.

 

NOTE:  Job descriptions are intended to be accurate reflections of those principal job elements essential for making fair pay decisions about jobs. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.  

EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.