RCM Services Manager

Office Practicum; Fort Washington (PA); On-site; USD 60,000 - 95,000; Full time

Benefits offered by this job

Medical, Prescription, Vision, and Dental Insurance

Life Insurance

401(k) with company match

Paid Time Off, Holidays, and Volunteer Hours

Company Wellness Program

Employee Assistance Program

Short and Long Term Disability Insurance

Pet Insurance

Tuition Assistance Program

Employee Recognition Program

Job summary

An established industry player is seeking a dedicated RCM Services Manager to lead the operations of the RCM Department. This pivotal role involves overseeing a talented team, ensuring operational efficiency, and developing strategies to enhance client retention. You will collaborate closely with leadership to align departmental goals with company standards, while also maintaining a keen understanding of healthcare industry practices. If you're passionate about pediatric care and thrive in a dynamic environment, this opportunity is your chance to make a significant impact in a meaningful field.

Qualifications

• 5+ years in Medical Billing and RCM/customer service experience.
• Ability to manage team performance and develop retention strategies.

Responsibilities

• Oversee RCM operations and manage team performance.
• Develop retention strategies and maintain department KPI reporting.

Skills

Team Management

Communication Skills

Conflict Resolution

Time Management

Customer Service

Medical Billing

Knowledge of ICD-10

Knowledge of CPT

Data Privacy Practices

Education

Professional Certifications

2 or 4 Year College Degree

Tools

Salesforce

Google Suite

Job description

Description

The RCM Services Manager will oversee the day-to-day operations of the RCM Department, providing support to the RCM team and RCM vendors. This role is responsible to ensure the RCM department meets targets for KPIs, retention, and time to revenue.

Essential Functions / Tasks / Duties / Responsibilities:

• Oversee the RCM client services specialist team, patient account representatives, and Sutherland and ensures the RCM operations are running smoothly
• Manage the daily workload of the RCM administrator
• Work closely with the Sr. Director of RCM to improve operational efficiency by drafting or updating processes to increase quality and achieve the overall goals of the department.
• Work closely with the Sr. Director of RCM on departmental planning and budget, expanded service offerings and evolving team structure to keep up with department growth.
• Responsible for managing direct reports on a daily basis by conducting 1:1’s, reviewing productivity, and monitoring performance
• Provide coaching, support and guidance to the direct reports and ensure processes are correct and handled in a timely manner.
• Oversee team use of Salesforce ensuring RCM-related fields, cases, and activity logs are accurate and updated to resolution.
• Serve as a point of escalation for clients regarding complex issues
• Develop retention strategies with escalated or at-risk clients including action plans
• Actively participate in RCM huddles internally and with RCM vendors
• Maintain functional knowledge of OP enhancements and improvements
• Maintain up-to-date awareness of healthcare industry standards and the overall landscape of pediatric medicine
• Develop and maintain sustainable continuing education program for department including assessment and certification process and facilitate cross training between team members
• Maintain department KPI, metric, and productivity reporting
• Complete other assigned projects and tasks as assigned

Requirements

Competencies:

• Ability to efficiently manage multiple tasks and prioritize workload to meet deadlines
• Ability to effectively manage team member performance with effective communication, professional development, conflict resolution, and promoting positive team culture
• Understand, support, enforce and comply with company and department policies, procedures and Standards of Business Ethics and Conduct
• Maintains proficiency and level of knowledge with all systems and applications required for task completion
• Maintain knowledge of Office Practicum EMR/PM, insurance carrier payment policies and practices
• Working knowledge and application of ICD-10, CPT and HCPCS coding
• Active listening, interpersonal written and oral communication skills needed
• Knowledge of applicable data privacy practices and laws necessary

Education / Professional Certifications or Licenses Required:

• Professional Certifications and / or some combination of related experience
• CPC (a plus)
• 2 or 4 year College Degree a plus

Experience Requirements:

• Minimum of 5 years of Medical Billing using EHR/PM system(s)
• Minimum of 5 years RCM/customer service experience supporting medical practices
• Minimum of 1 year supervisory experience
• Google Suite - Sheets, Docs, and Slides
• CPT and ICD10 knowledge

Work Environment / Physical demands/ Travel Requirements:

• Quiet setting for computer and phone with minimal distractions
• Minimal lifting requirements
• Minimal travel to conferences and remote offices

Core Values:

• We are Clinician First
• Pediatric Care is our Home
• We Deliver on our Commitments
• Our Success is Based on Results
• We Believe in the Power of Teams

We believe that consistently aligning our planning and execution with these core values will lead to long term success for both Office Practicum as well as the customers we serve.

Benefits:

• Medical, Prescription, Vision, and Dental Insurance
• Life Insurance
• 401(k) with company match
• Paid Time Off, Holidays, and Volunteer Hours
• Company Wellness Program
• Employee Assistance Program
• Short and Long Term Disability Insurance
• Pet Insurance
• Tuition Assistance Program
• Employee Recognition Program

Equal Employment Opportunity Statement:

Our company is committed to equal employment opportunity. We will not discriminate against employees or applicants for employment on any legally recognized basis [“protected class”] including, but not limited to: veteran status, uniform service member status, race, color, ancestry, pregnancy, childbirth and related medical conditions, national origin, non-job related handicap or disability, or the use of a guide or support animal, creed, religion, sex, sexual orientation, national origin, age [18 and over] - [40 or over], physical or mental disability, predisposing genetic characteristics, military status, marital status, protected action, concerted activity, or any other protected class under federal, state or local law. You may discuss equal employment opportunity related questions with your supervisor or any other member of management.

Americans with Disabilities Act Statement:

Our company is committed to providing equal employment opportunities to otherwise qualified individuals with disabilities, which may include providing reasonable accommodation where appropriate. In general, it is your responsibility to notify your supervisor of the need for accommodation. Upon doing so, your supervisor may ask you for your input or the type of accommodation you believe may be necessary or the functional limitations caused by your disability. Also, when appropriate, we may need your permission to obtain additional information from your physician or other medical or rehabilitation professionals.