RCM Success Manager

RCM Success Manager The CORE Institute | HOPCo - 2.2 Phoenix, AZ Job Details 19 hours ago Qualifications Financial data analysis tools Healthcare data reporting Full Job Description

ESSENTIAL FUNCTIONS

Serve as the primary RCM strategic partner for assigned markets and physician groups Monitor and analyze key performance indicators including charge lag, denial rates, AR aging, AR >90 days, and net collection rate Lead monthly and quarterly revenue cycle reviews with market leadership and providers Identify root causes of revenue leakage and assist in developing corrective action plans Drive reduction in controllable denials through payer-specific analysis and operational collaboration Partner with cross-functionally with key revenue cycle stakeholders to proactively identify and resolve issues impacting revenue integrity and reimbursement performance. Support new market onboarding and RCM ASA integrations Escalate systemic issues to executive leadership with proposed solutions Participate in cross-functional revenue cycle initiatives and performance improvement projects

EDUCATION

Preferred:

BA or BS Degree CPC, CPB, CRCR, or other revenue cycle certification preferred

EXPERIENCE

Minimum 5-7 years of progressive experience in healthcare revenue cycle management Experience working with physician practices, ambulatory surgery centers, or musculoskeletal service lines preferred Demonstrated experience analyzing financial and operational performance metrics Experience leading cross-functional initiatives and presenting to executive leadership

REQUIREMENTS

Ability to travel periodically to assigned markets Strong understanding of payer reimbursement methodologies including Medicare Advantage, Commercial, Medicaid, and Workers' Compensation Advanced proficiency in Microsoft Excel and reporting tools Ability to manage multiple markets and priorities simultaneously

KNOWLEDGE

Revenue cycle workflows from front-end through denial resolution and collections

CPT/HCPCS

coding fundamentals and modifier usage Accounts receivable management strategies Regulatory compliance related to revenue cycle operations SKILLS Advanced analytical and financial interpretation skills Executive-level presentation and communication skills Strong problem-solving and critical-thinking abilities Data visualization and dashboard development Cross-functional collaboration and relationship management Project management and organizational skills

ABILITIES

Ability to translate complex financial data into actionable insights Ability to build trust with providers and operational leaders Ability to prioritize high-impact initiatives in fast-paced environments

ENVIRONMENTAL WORKING CONDITIONS

Remote work environment Periodic travel to practice locations Frequent computer use and virtual meeting participation Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.