Medical RCM Manager Position Available In Hillsborough, Florida

Between $85k and
$90k
Per Year Medical RCM Manager
(Not Available)

Location:

Tampa, FL

• 33647
  Positions available: 1
  Job #:

W3GEXT-46002

Source:

W3global

Posted:

6/11/2025

Web Site:

www.w3global.com

Job Type:

Full Time (30 Hours or More) Job Requirements and Properties Help for Job Requirements and Properties. Opens a new window. Job Requirements and Properties Help for Job Requirements and Properties. Opens a new window.
Work Onsite
Full Time Schedule
Full Time
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Position Summary
The Medical RCM Manager oversees all aspects of revenue cycle operations-from patient registration and insurance verification to claims management and payment collection. This role is instrumental in developing strategies to optimize revenue, reduce claim denials, and ensure compliance. The ideal candidate brings healthcare financial expertise, technical proficiency with medical billing systems, and leadership skills to drive excellence in an evolving ecommerce environment.

• Key Responsibilities Revenue Cycle Leadership
• Develop and implement comprehensive revenue cycle strategies
• Oversee billing processes for accuracy and efficiency
• Identify and implement process improvements
• Establish KPIs and provide regular performance analysis
• Collaborate across teams to integrate financial processes
• Transition traditional RCM to an ecommerce platform
• Manage multiple departments including Verifications, Eligibility, Claims, Prior Authorizations, Workers Comp, Denials, Appeals, Remittances, etc. Claims and Denial Management
• Ensure accurate claims submission and tracking
• Develop strategies to reduce denials and enhance claim acceptance
• Manage denial processes, conduct root cause analysis, and implement corrective actions
• Follow up promptly on unpaid or partially paid claims
• Enhance and manage the appeal process
• Work with payers on reimbursement issues
• Implement automated claim validation systems Compliance and Regulatory Oversight
• Ensure compliance with healthcare regulations (HIPAA, HITECH)
• Monitor changes in billing regulations and maintain up-to-date compliance policies
• Conduct audits and implement corrective actions as necessary
• Document billing activities for audit readiness
• Oversee implementation of OIG compliance programs Team Leadership and Development
• Manage, mentor, and develop the revenue cycle team
• Set clear performance expectations and provide consistent feedback
• Design and implement training programs
• Foster a culture of continuous improvement
• Recruit and retain top-performing talent Technology and Systems Management
• Optimize usage of revenue cycle management software
• Utilize platforms like Athena, Availity, Payer Portals, ModMed, and other EHRs
• Drive integration of financial and healthcare systems
• Champion automation and technology upgrades
• Ensure security of financial and healthcare data
• Leverage analytics for informed decision-making Ecommerce Platform Integration
• Contribute to ecommerce capabilities in billing workflows
• Ensure seamless integration of digital payment systems
• Create strategies to support online transaction processing
• Improve the patient experience with online billing solutions
• Stay current on emerging healthcare ecommerce trends Financial Analysis and Reporting
• Conduct revenue trend analysis and forecasting
• Provide regular reports on revenue performance
• Recommend strategies to improve financial outcomes
• Monitor and communicate key financial metrics
• Build dashboards for performance tracking and visibility
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  Qualifications Education and Experience
• Bachelor’s degree in Finance, Healthcare Administration, or related field; Master’s preferred
• 7-10 years of healthcare revenue cycle management experience, with 3+ years in a leadership role
• Hands-on experience with medical software and healthcare IT systems
• Relevant certifications preferred (e.g., CRCR, CHFP, CPAR) Technical Knowledge and Skills
• Strong knowledge of healthcare billing and coding (ICD-10, CPT, HCPCS)
• Proficiency in revenue cycle and financial software
• Solid understanding of healthcare regulations and payer reimbursement models
• Experience with analytics tools and business intelligence platforms
• Familiarity with ecommerce payment systems
• Proficient in SQL, Excel, and data visualization tools Healthcare Industry Knowledge
• Insurance payer operations and reimbursement processes
• Medical terminology and clinical documentation
• Healthcare compliance standards and guidelines
• Exposure to value-based care and emerging payment models
• Awareness of healthcare technology advancements Leadership and Interpersonal Skills
• Demonstrated leadership and staff development experience
• Strong communication and cross-functional collaboration skills
• Excellent problem-solving and analytical abilities
• Patient and provider-focused mindset Personal Attributes
• Highly organized and detail-oriented
• Self-motivated and results-driven
• Ethical, innovative, and adaptable
• Capable of thrivi
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