RCM Portfolio Lead: AI-Driven Revenue Optimization

Compass Surgical Partners

United States

Remote

USD 110,000 - 160,000

Full time

44 hours ago
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Job summary

Compass Surgical Partners seeks an experienced Manager for Revenue Cycle Management to oversee financial performance across a portfolio of ambulatory surgery centers. You will lead accounts receivable, collections, denials, and billing operations, partnering with center leadership, vendors, and enterprise teams to close performance gaps.

The role emphasizes innovation, automation, and AI-enabled tools to improve workflows, accuracy, and reimbursement outcomes.

Qualifications

  • Progressive experience in healthcare revenue cycle management, including billing, accounts receivable, collections, denials, and reimbursement.

Responsibilities

  • Oversee revenue cycle performance across an assigned portfolio of approximately five to nine ambulatory surgery centers.
  • Monitor key performance indicators including accounts receivable, aging, cash collections, denials, reimbursement accuracy, and write-offs.
  • Identify financial performance gaps and implement strategies to improve collections, reduce aging, and strengthen revenue realization.
  • Monitor payment posting and reimbursement accuracy, identifying underpayments, discrepancies, and opportunities for recovery.
  • Strengthen patient collections and outstanding balance resolution through effective center-level processes.
  • Drive timely resolution of denied, underpaid, and zero-paid claims while addressing root causes to prevent recurring issues.
  • Ensure timely and accurate billing by resolving documentation, coding, authorization, and charge submission delays.
  • Develop and execute corrective action plans to address revenue cycle performance gaps and sustain measurable improvement.
  • Identify opportunities to standardize workflows, improve operational efficiency, and strengthen revenue cycle performance across centers.
  • Identify opportunities to automate manual revenue cycle workflows, reporting, issue identification, and performance monitoring.
  • Leverage AI-enabled tools and advanced analytics to identify denial patterns, payment variances, collection opportunities, and emerging financial risks.
  • Evaluate and implement practical technology-enabled improvements that increase accuracy, reduce cycle times, and strengthen revenue realization.
  • Validate automated and AI-generated outputs to ensure accuracy, compliance, and appropriate handling of protected health information.
  • Translate successful improvements into consistent, scalable processes across the ASC portfolio.
  • Partner with center leadership to establish performance expectations, resolve operational challenges, and drive accountability.
  • Hold billing vendors and service partners accountable for service quality, timely issue resolution, and established performance standards.
  • Lead recurring revenue cycle performance reviews with center teams and external partners, ensuring clear action plans and follow-through.
  • Collaborate with Managed Care to resolve payer-related issues, including credentialing, contract discrepancies, and reimbursement challenges.
  • Provide accurate performance reporting, financial forecasts, and timely escalation of emerging risks to enterprise leadership.
  • Analyze revenue cycle trends to identify financial exposure, prioritize recovery opportunities, and recommend corrective actions.
  • Maintain clear documentation of performance issues, action plans, and resolution progress.
  • Ensure compliance with applicable billing regulations, HIPAA requirements, and organizational policies.
  • Five or more years of healthcare revenue cycle management experience
  • Experience supporting ambulatory surgery centers or multispecialty outpatient healthcare organizations
  • Experience overseeing revenue cycle performance across five or more facilities or client accounts
  • Familiarity with outsourced or hybrid revenue cycle management models

Skills

RCM management
Accounts receivable
Denials management
Payment posting
Performance improvement
Cross-functional collaboration
AI/Automation tools
Communication skills

Tools

Billing software
Analytics platforms
AI-enabled tools
Automation software

Job description

Compass Surgical Partners seeks an experienced Manager for Revenue Cycle Management to oversee financial performance across a portfolio of ambulatory surgery centers. You will lead accounts receivable, collections, denials, and billing operations, partnering with center leadership, vendors, and enterprise teams to close performance gaps.

The role emphasizes innovation, automation, and AI-enabled tools to improve workflows, accuracy, and reimbursement outcomes.

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