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AU
Adecco US, Inc.
Revenue Cycle Manager
Career Insights for Revenue Manager
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What they do
A Revenue Manager manages revenue flows for an organization. Prepares financial statements and business activity and forecasting reports; supervises accounting and preparation of financial reports; advises management with regard to finance decisions.
$141,152 / year median in the U.S.
+11% projected growth
Job Description
- RCM Applications Lead
- Revenue Cycle Management Applications Lead
- + 100% Remote | Candidates Can Live Anywhere in the U.S. + Full-Time | Monday-Friday + Typically 8:00 AM-5:00 PM Arizona Time + Annual Salary | Based on Experience
- _Position Overview_
- We are seeking an experienced RCM Applications Lead to oversee revenue cycle system configuration, optimization, revenue integrity, and assigned RCM configuration staff.
- _Key Responsibilities_
- + Lead the design and optimization of RCM system configuration, including payer setup, fee schedules, billing logic, claims workflows, EDI, and billing edits + Evaluate payer requirements, operational workflows, and system configuration to identify gaps and opportunities for improvement + Identify potential revenue leakage and revenue integrity risks and recommend practical configuration solutions + Translate business, billing, and payer requirements into technical specifications and testing scenarios + Define and execute testing/validation for billing-related system changes prior to production deployment + Support resolution of complex billing, payer, claims, and configuration issues + Partner with EHR, Data & Analytics, Finance, Billing, Operations, and leadership teams + Support RCM reporting and interpretation of billing and financial data + Provide direct day-to-day supervision, direction, and coaching to the RCM Configuration/EDI Analyst + Review configuration work, testing results, and documentation for accuracy and completeness + Provide input regarding staff performance, development, workload, and process improvement •_What This Role Is — and Isn't_•This position focuses specifically on RCM applications, configuration, revenue integrity, and system optimization.
- not•own: + Overall EHR administration + Enterprise application administration + EHR vendor relationships + System releases or patches + Overall EHR platform lifecycle The RCM Applications Lead partners with the appropriate technical teams while maintaining responsibility for the RCM configuration function.
- _Minimum Qualifications_
- + High school diploma required + Bachelor's degree in Healthcare Administration, Business, Information Systems, Computer Science, Finance, or related field preferred + 5+ years of experience in revenue cycle management, billing systems, EHR configuration, claims workflows, payer configuration, or related healthcare systems + NextGen Ambulatory EHR experience + Strong understanding of payer requirements, billing logic, fee schedules, claims, EDI, billing edits, denials, and revenue integrity + Experience translating business/billing requirements into system configuration, testing scenarios, reporting requirements, or technical specifications + Strong analytical, communication, documentation, and problem-solving skills + Proficiency with Excel and RCM-related data analysis •_Benefits_•+ Medical, Dental & Vision Insurance + Disability & Life Insurance — 25% employer-paid + 401(k) with Employer Match — 100% vested upon enrollment + 5 Weeks of
PTO + PTO
Cash-Out Option after 1 year + Hospital Indemnity & Critical Illness Plans + Pet Insurance + Dependent Care & Health Care Savings Programs + Wellness Programs + Employee Assistance Program (EAP) + Tuition Reimbursement & Tuition Assistance + Public Service Loan Forgiveness (PSLF) Eligibility for qualifying employees- _Preferred Qualifications_
- + Experience in behavioral health + Experience with clinical, billing, and operational workflows + EHR, revenue cycle, billing, coding, or payer-related certification
- _Ideal Candidate_
- The ideal candidate is an experienced RCM systems professional who understands both the operational and technical sides of healthcare revenue cycle management. You should be comfortable working with EHR configuration, payer logic, claims workflows, EDI, revenue integrity, testing, reporting, and cross-functional technology teams, while also providing leadership to RCM configuration staff.
- _Schedule & Remote Work_
- + Full-Time + Monday-Friday + Typically 8:00 AM-5:00 PM Arizona Time + 100% Remote + Candidates may reside anywhere in the United States + Must be available to work on Arizona Time
Pay Details:
- $111,280.
Massachusetts Candidates Only:
- It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment.
Benefits
- Paid Time Off (PTO)
- Financial Aid/Assistance
- 401(k) Plans
- Other Retirement and Savings