RCM Assessment Specialist

Aledade, Inc.; Charlotte (NC); Remote; USD 70,000 - 95,000; Full time

Job summary

Aledade, Inc. is seeking an Athena & Revenue Cycle S.M.E. to enhance revenue cycle efficiency across practices. This remote role involves travel, comprehensive reviews of revenue cycle processes, and collaborating with stakeholders for application maintenance. Candidates should have a strong background in revenue cycle management and excellent communication skills.

Benefits

Flexible work schedules

Health, dental, and vision insurance paid up to 80%

21 days of PTO in the first year

12 weeks paid parental leave

401(k) with up to 4% match

Stock options

Qualifications

• 5 years’ experience in practice management and revenue cycle operations.
• Proficient in claims processing, EOB review, payment posting, and denial management.
• Bachelor’s Degree preferred.

Responsibilities

• Conduct comprehensive reviews of Practice Revenue Cycle Management processes.
• Make recommendations to improve RCM workflows and strategies.
• Provide in-person consulting, training, and implementation support at client sites.

Skills

Client-facing communication

Problem solving

Decision making

Independent judgment

Education

High School Diploma

Bachelor’s Degree in Business Administration or Health Care Administration

Tools

RCM tools

eCW

Athena

Veradigm

Job description

We are searching for an Athena & Revenue Cycle S.M.E. to join the team. The person in this role is integral in helping our Practices maximize revenue cycle efficiency by assessing and making recommendations to improve workflows related to Athena, billing, claims processing, collections, and financial reporting.

This is a remote position that requires travel to our partner practices periodically. We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home within the US.

Essential Duties and Responsibilities:

• Conduct comprehensive reviews of Practice Revenue Cycle Management processes to identify areas of opportunity with setup, workflows, and system build and deliver findings to the Practice using RCM tools.
• Make recommendations based on identified areas of opportunity to redesign and/or establish improved RCM workflows. Develop strategies and Implementation plans for each Practice’s unique needs.
• Travel to client sites to provide in-person consulting, training, and implementation support.
• Collaborate with stakeholders to support and maintain applications in a manner that is aligned with organizational workflows and priorities.
• Other duties as assigned

Required Skills and Abilities:

• Excellent client-facing and internal communication skills (verbal and written) with experience in communicating with external customers.
• Ability to exercise independent judgment to accomplish goals in a dynamic environment.
• Strong problem solving and decision making skills
• Self-directed with minimal supervision
• Ability to travel to practices 1-2 days weekly within the United States to conduct assessments. Overnight stay as needed.

Education and Experience:

• High School Diploma required, Bachelor’s Degree in Business Administration, Medical Insurance, or Health Care Administrationpreferred
• 5 years’ experience in practice management and revenue cycle operations, including claims processing, EOB review, payment posting, denial management, etc.
• Experience with eCW, Athena, eMDs, Greenway, NextGen or Veradigm preferred

Certification:

• Certified in EHR Training preferred

Who We Are:

Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.

What Does This Mean for You?

At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.

In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:

Flexible work schedules and the ability to work remotely are available for many roles

Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners

Robust time-off plan (21 days of PTO in your first year)

Two paid volunteer days and 11 paid holidays

12 weeks paid parental leave for all new parents

Six weeks paid sabbatical after six years of service

Educational Assistant Program and Clinical Employee Reimbursement Program

401(k) with up to 4% match

Stock options

And much more!

At Aledade, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.

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