RCM Assessment Specialist

Aledade; Indianapolis (IN); Remote; USD 60,000 - 80,000; Full time

Job summary

Join a forward-thinking company as an RCM Assessment Specialist, where you will play a crucial role in enhancing revenue cycle efficiency for healthcare practices. This remote position offers the flexibility to work from home while requiring periodic travel to partner practices across the United States. You will conduct comprehensive reviews of revenue cycle processes, identify opportunities for improvement, and develop tailored strategies to optimize workflows. Your expertise in practice management and revenue cycle operations will be pivotal in driving success for our clients. If you are a self-directed professional with strong problem-solving skills and a passion for healthcare, this role is an exciting opportunity to make a meaningful impact.

Qualifications

• 5 years’ experience in practice management and revenue cycle operations.
• Bachelor’s Degree in relevant fields preferred.

Responsibilities

• Conduct reviews of Practice Revenue Cycle Management processes.
• Travel to client sites for consulting and training.

Skills

Client-facing communication

Problem solving

Independent judgment

Decision making

Self-directed work

Education

High School Diploma

Bachelor’s Degree in Business Administration

Bachelor’s Degree in Medical Insurance

Bachelor’s Degree in Health Care Administration

Tools

eCW

Athena

eMDs

Greenway

NextGen

Veradigm

Job description

The RCM Assessment Specialist is integral in helping our Practices maximize revenue cycle efficiency by assessing and making recommendations to improve workflows related to 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:

1. 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.
2. 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.
3. Travel to client sites to provide in-person consulting, training, and implementation support.
4. Collaborate with stakeholders to support and maintain applications in a manner that is aligned with organizational workflows and priorities.
5. Other duties as assigned.

Required Skills and Abilities:

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

Education and Experience:

1. High School Diploma required; Bachelor’s Degree in Business Administration, Medical Insurance, or Health Care Administration preferred.
2. 5 years’ experience in practice management and revenue cycle operations, including claims processing, EOB review, payment posting, denial management, etc.
3. Experience with eCW, Athena, eMDs, Greenway, NextGen or Veradigm preferred.

Certification:

1. Certified in EHR Training preferred.