RCM/OPH Manager

EyeCare Partners LLC; Grand Rapids (MI); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical benefits

401k

Paid time off

Job summary

EyeCare Partners LLC is seeking an experienced RCM Manager to oversee the revenue cycle management function for the region. You will handle verification, authorizations, statements, claim submission, collections, communications, and credentialing.

Leading the team, you will implement workflows, train staff, and drive efficiency while ensuring regulatory compliance and high-quality patient service. This role supports remote team members and involves varied shifts to meet organizational needs.

Qualifications

• Requires HS Diploma or GED and a 4-year degree in related field.
• Minimum 5+ years billing experience with leadership ability.
• 5+ years Revenue Cycle experience; 2+ years management experience in corporate setting.
• Experience with accounts receivable and understanding of the revenue cycle for payors.

Responsibilities

• Implement and maintain an efficient workflow within the practices.
• Ensure staff training adequacy for daily tasks.
• Cross-train in other departments for accuracy and efficiency.
• Assess new acquisition revenue cycle processes.
• Identify opportunities with RCM systems.
• Develop streamlined processes and timely billing.
• Create and monitor productivity and quality metrics.
• Ensure compliance with payor, government and internal policies.
• Monitor RCM performance for team members.
• Conduct routine monitoring and auditing for staff productivity.

Skills

Detail oriented

Management skills

Written & spoken English

Interpersonal skills

Microsoft Excel

Microsoft Word

PowerPoint

Outlook

HIPAA knowledge

Regulatory knowledge

Education

HS Diploma or GED

Bachelor's Degree (Business/Health Mgmt/Medical Billing/Finance)

Tools

Microsoft Excel

Microsoft Word

PowerPoint

Outlook

Job description

EyeCare Partners is the nation’s leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visitwww.eyecare-partners.com.

Title: RCM Manager

Job Summary

The RCM Manager is responsible for managing all activities within the revenue cycle management function for the region. RCM processes include but are not limited to insurance verification, authorizations, patient statements, charge entry/coding, submission of clean claims, collection of patient and insurance receivables, patient and operation communications, and credentialing.

Duties and Responsibilities

• Implement and maintain an efficient workflow within the practices
• Ensure that all employees within the department have received the proper level of training to complete their daily tasks
• Cross training in other departments to ensure the highest level of accuracy and efficiency.
• Assess new acquisition revenue cycle processes
• Identify opportunities with RCM systems
• Work with the Sr RCM Manager or Director in the development of streamlining processes and maintain accurate and timely billing processes
• Create and implement metrics for productivity and quality
• Ensure adherence to and compliance of payor, government and internal system regulatory policies
• Monitor key revenue cycle management performance levels for each team member as well as each RCM team
• Conduct routine monitoring and auditing activities to ensure staff production goals and quality of work is met
• Conduct streamlined communication processes with practice RCM teams, Practice Administrators, RCM leadership, and various departments across the organization.
• Carry out supervisory responsibilities in accordance with company policies
• Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.
• Performs other duties that may be necessary or in the best interest of the organization.

Education:

HS Diploma or GED

4 Year Bachelor's Degree -(Business, Health Management, Medical Billing, Finance or related field)

Experience Requirement

• 5+ years billing experience with proven leadership ability.
• 5+ years Revenue Cycle experience
• 2+ years Management experience in a corporate setting
• Experience with accounts receivable and understanding of the revenue cycle for payors

Knowledge, Skills and Abilities Requirements

• Detail oriented, professional attitude, reliable
• Management and organizational skills to support the leadership of this function
• Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations
• Interpersonal skills to support customer service, functional, and teammate support needs
• Able to communicate effectively in English, both verbally and in writing
• Ability for basic to intermediate problem solving, including mathematics
• Proficiency with Microsoft Excel, Word, PowerPoint and Outlook
• Specialty knowledge of systems relating to job function
• Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines

Supervisory Responsibilities:

• Directly supervises team members in the RCM Department
• Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.
• Responsibilities include interviewing, hiring, and training employees, planning, assigning, and directing work, appraising performance, rewarding and disciplining employees, addressing complaints and resolving problems.

For remote team members, HIPAA compliant home office environment. Ability to work in a remote environment while performing required duties and remaining patient focused. Able to work varying shifts including early mornings/evenings to attend meetings and cross training or support other initiatives

We Offer

• Competitive pay and comprehensive benefits including medical, dental, vision, 401k, paid holidays and Paid Time Off.
• Career experiences that provide team members with opportunities for personal and professional growth in a rewarding work environment.
• Opportunities that spark your imagination and ignite your passion to help others.

NOTE:

Job descriptions are intended to be accurate reflections of those principal job elements essential for making fair pay decisions about jobs. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered foret________________________________?

EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered foret________________________________?