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Principal, RCM
Job
Advantum Health
Louisville, KY (In Person)
$55,629 Salary, Full-Time
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Job Description
Principal, RCM Advantum Health - 3.1 Louisville, KY Job Details Full-time 2 days ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance 401(k) matching Qualifications Operational analysis Strategic management Teamwork Medical coding guidelines Medical billing and coding communication with insurance companies Desktop applications Insurance provider collaboration Productivity software Process management Data analysis software Senior leadership Full Job Description The Principal of Revenue Cycle Management is responsible for leading end-to-end RCM operations, driving financial performance, and ensuring efficient, compliant, and scalable processes across the revenue cycle. This role focuses on cash flow optimization, denial reduction, AR management, and operational excellence , while partnering with clients, providers, and internal teams to deliver measurable outcomes. Key Responsibilities 1. Revenue Cycle Operations Leadership Oversee end-to-end RCM functions: Billing, AR Follow-up, Denial Management, and Payment Posting Drive improvements in cash collections, AR days, and clean claim rates Ensure seamless coordination across all revenue cycle stages 2. Financial Performance & KPI Management Own and manage key metrics: AR Days Denial Rate First Pass Resolution Rate Develop cash forecasts and variance analysis Identify and mitigate revenue leakage 3. Denial Prevention & AR Optimization Lead initiatives to reduce denials and improve first-pass yield Implement structured strategies for aged AR reduction (90+/120+) Establish root cause analysis and corrective action plans 4. Client & Stakeholder Management Serve as a key point of contact for clients and senior stakeholders Lead business reviews, performance discussions, and strategic planning Build strong relationships and ensure high client satisfaction 5. Process Improvement & Automation Drive process standardization and workflow optimization Identify and implement automation and technology solutions Enhance productivity and reduce manual effort 6. Compliance & Risk Management Ensure adherence to HIPAA, payer guidelines, and regulatory requirements Maintain strong audit controls and documentation standards Proactively identify and mitigate operational risks 7. Team Leadership & Development Lead, mentor, and develop high-performing RCM teams Drive performance management, training, and engagement initiatives Foster a culture of accountability, collaboration, and continuous improvement 8. Data Analytics & Reporting Leverage data to drive insights, performance improvements, and decision-making Develop and present executive dashboards and reports Enable predictive and trend-based analysis Qualifications Master's/Bachelor's degree in healthcare administration, business administration, or a related field Minimum of 12years of experience in healthcare revenue cycle management Strong knowledge of healthcare billing regulations, coding guidelines, and payment systems Excellent analytical and problem-solving skills Strong attention to detail and accuracy Ability to communicate effectively with insurance companies, patients, and other stakeholders Ability to work independently and as part of a team Proficient in Microsoft Office and other relevant software applications