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RCM Success Manager
Job
HOPCo
Remote
Full-Time
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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