RCM Manager, Denials & Appeals (Anesthesia)

Oms Medical Billing; Addison (TX); On-site; USD 85,000 - 125,000; Full time

Benefits offered by this job

Competitive compensation with bonus

Health, dental, and vision insurance

401(k) plan with company contribution

Paid holidays and PTO

Professional development support

Job summary

OrthoMed Anesthesia in Addison, TX is seeking a detail-oriented Manager of Revenue Cycle Management to optimize accounts receivable operations. You will oversee post-billed claims, denials, and appeals, while driving process improvements and cross-functional collaboration with IT, Clinical, and Compliance teams.

The role requires on-site presence at our Addison corporate office with a focus on regulatory compliance, KPI monitoring, and staff coaching to ensure efficient revenue recovery.

Qualifications

• Bachelor's degree in Healthcare Administration, Finance, or equivalent professional experience.
• Minimum 3 years of RCM experience, preferably in physician-based billing.
• Understanding of CPT coding, ASA modifiers, concurrency rules, and time documentation.
• Knowledge of federal compliance standards and CMS regulations.
• Demonstrated experience in team supervision and performance management.
• Strong analytical and communication skills.
• Proficiency with billing software and Microsoft Office applications.

Responsibilities

• Manage day-to-day RCM operations on post-billed claims through to zero-balance.
• Monitor and effectively manage team productivity, quality, and overall performance.
• Monitor and analyze KPIs and generate reports for management review.
• Supervise and mentor RCM staff members, providing guidance and training as needed.
• Collaborate with Clinical, IT, Compliance, and Operations teams to maintain efficient workflows.
• Assist with denial management and appeals processes to optimize revenue recovery.
• Support internal audits and staff training initiatives.
• Identify process improvement opportunities and implement solutions.
• Perform additional duties as assigned in support of organizational goals.

Skills

RCM experience

Team supervision

Analytical skills

Communication skills

Billing processes

MS Office

Education

Bachelor's degree in Healthcare Administration or Finance

Tools

PhyGeneSys

Billing software

Microsoft Office

Job description

OrthoMed Anesthesia in Addison, TX is seeking a detail-oriented Manager of Revenue Cycle Management to optimize accounts receivable operations. You will oversee post-billed claims, denials, and appeals, while driving process improvements and cross-functional collaboration with IT, Clinical, and Compliance teams.

The role requires on-site presence at our Addison corporate office with a focus on regulatory compliance, KPI monitoring, and staff coaching to ensure efficient revenue recovery.