RCM Success Manager

Healthcare Outcomes Performance Co. (HOPCo); Phoenix (AZ); On-site; USD 120,000 - 180,000; Full time

Job summary

Healthcare Outcomes Performance Co. (HOPCo) is seeking a seasoned RCM leader to serve as the primary strategic partner for assigned markets and physician groups. You will monitor key performance indicators and lead revenue cycle reviews with market leadership.

This role requires strong analytical capabilities, cross-functional collaboration, and the ability to translate complex financial data into actionable insights. Remote work with periodic travel is required.

Qualifications

• Progressive experience in healthcare revenue cycle management.
• Experience with physician practices, ambulatory surgery centers, or musculoskeletal service lines.
• Ability to analyze financial and operational performance metrics.
• Experience leading cross-functional initiatives and presenting to executive leadership.

Responsibilities

• Serve as the primary RCM strategic partner for assigned markets and physician groups.
• Monitor and analyze KPIs including charge lag, denial rates, AR aging, AR >90 days, and net collection rate.
• Lead monthly and quarterly revenue cycle reviews with market leadership and providers.
• Identify root causes of revenue leakage and develop corrective action plans.
• Drive reduction in controllable denials through payer-specific analysis and collaboration.
• Partner cross-functionally with key revenue cycle stakeholders to resolve revenue integrity issues.
• Support new market onboarding and RCM ASA integrations.
• Escalate systemic issues to executive leadership with proposed solutions.
• Participate in cross-functional revenue cycle initiatives and performance improvement projects.

Skills

Advanced analytical skills

Executive-level presentation

Problem-solving

Data visualization

Cross-functional collaboration

Project management

Education

BA or BS Degree

CPC/CPB/CRCR or revenue cycle certification preferred

Tools

Microsoft Excel

Job description

• Serve as the primary RCM strategic partner for assigned markets and physician groups
• Monitor and analyze key performance indicators including charge lag, denial rates, AR aging, AR >90 days, and net collection rate
• Lead monthly and quarterly revenue cycle reviews with market leadership and providers
• Identify root causes of revenue leakage and assist in developing corrective action plans
• Drive reduction in controllable denials through payer-specific analysis and operational collaboration
• Partner with cross-functionally with key revenue cycle stakeholders to proactively identify and resolve issues impacting revenue integrity and reimbursement performance.
• Support new market onboarding and RCM ASA integrations
• Escalate systemic issues to executive leadership with proposed solutions
• Participate in cross-functional revenue cycle initiatives and performance improvement projects

Essential Functions

• Serve as the primary RCM strategic partner for assigned markets and physician groups
• Monitor and analyze key performance indicators including charge lag, denial rates, AR aging, AR >90 days, and net collection rate
• Lead monthly and quarterly revenue cycle reviews with market leadership and providers
• Identify root causes of revenue leakage and assist in developing corrective action plans
• Drive reduction in controllable denials through payer-specific analysis and operational collaboration
• Partner with cross-functionally with key revenue cycle stakeholders to proactively identify and resolve issues impacting revenue integrity and reimbursement performance.
• Support new market onboarding and RCM ASA integrations
• Escalate systemic issues to executive leadership with proposed solutions
• Participate in cross-functional revenue cycle initiatives and performance improvement projects

Education

Preferred:

• BA or BS Degree
• CPC, CPB, CRCR, or other revenue cycle certification preferred

Experience

• Minimum 5–7 years of progressive experience in healthcare revenue cycle management
• Experience working with physician practices, ambulatory surgery centers, or musculoskeletal service lines preferred
• Demonstrated experience analyzing financial and operational performance metrics
• Experience leading cross-functional initiatives and presenting to executive leadership

Requirements

• Ability to travel periodically to assigned markets
• Strong understanding of payer reimbursement methodologies including Medicare Advantage, Commercial, Medicaid, and Workers’ Compensation
• Advanced proficiency in Microsoft Excel and reporting tools
• Ability to manage multiple markets and priorities simultaneously

Knowledge

• Revenue cycle workflows from front-end through denial resolution and collections
• CPT/HCPCS coding fundamentals and modifier usage
• Accounts receivable management strategies
• Regulatory compliance related to revenue cycle operations

Skills

• Advanced analytical and financial interpretation skills
• Executive-level presentation and communication skills
• Strong problem-solving and critical-thinking abilities
• Data visualization and dashboard development
• Cross-functional collaboration and relationship management
• Project management and organizational skills

Abilities

• Ability to translate complex financial data into actionable insights
• Ability to build trust with providers and operational leaders
• Ability to prioritize high-impact initiatives in fast-paced environments

Environmental Working Conditions

• Remote work environment
• Periodic travel to practice locations
• Frequent computer use and virtual meeting participation