RCM Systems Support Manager

Bay Cove Human Services; Boston (MA); On-site; USD 90,000 - 95,000; Full time

Job summary

Bay Cove Human Services is seeking a RCM Systems Support Manager (SSO) to bridge IS, vendors, and the RCM team. This role focuses on technical support for RCM-related systems and ensuring uninterrupted revenue cycle operations.

Reporting to the Senior Director of Revenue Cycle, the candidate will optimize billing processes, develop reports, and train staff on new systems and workflows. Located in the Greater Boston area, salary ranges reflect local market levels.

Qualifications

• Must have at least five years’ experience implementing and maintaining RCM applications.
• Extensive background in medical billing systems and EHR/PM software experience.
• Advanced Excel skills with power query, complex formulas, pivot tables and dashboard creation.

Responsibilities

• Troubleshoot and resolve issues with RCM software and EHR-integrated billing tools.
• Manage daily operations of RCM IT applications and ensure updates are installed.
• Provide AR-Plus support and coordinate with eHana support staff.
• Produce month-end AR reports and reporting from the clearinghouse.
• Collaborate with IS to design and implement reports from the data warehouse.

Skills

RCM software experience

Excel (Power Query & dashboards)

EHR/PM knowledge

Attention to detail

Communication & training

Tools

eHana

AR-Plus

Job description

Bay Cove Human Services’ mission is to partner with people to overcome challenges and realize personal potential. Bay Cove pursues this mission by providing individualized and compassionate services to people facing the challenges associated with developmental disabilities, mental illness, substance use disorders, and homelessness at more than 175 program sites throughout Greater Boston and Southeast Massachusetts.

Reports to:

Senior Director of Revenue Cycle

Job Summary:

Reporting to the Senior Director of Revenue Cycle, the RCM Systems Support Manager (SSO) combines the skills of an IS support professional with expertise in revenue cycle management. The role focuses on providing technical support for RCM-related systems and applications, while ensuring that revenue cycle operations run without interruption. The RCM SSO acts as a bridge between IS, software vendors, and the RCM team, helping resolve issues that can adversely impact claims processing, patient billing, revenue capture, and revenue cycle compliance.

Personal Characteristics:

• Demonstrated ability to work effectively and collaboratively with a culturally diverse population.
• Proficient communication, documentation, organizational, presentational, and training skills.
• Ability to be flexible, open, and responsive to ongoing changes.

Qualifications:

• Must have at least five years’ experience in implementing and maintaining RCM applications in a healthcare or human services organization.
• Must have extensive background in medical billing systems, including comprehensive knowledge of electronic health records and practice management software (eHana and AR-Plus experience is desired, but other EHR and practice management software experience acceptable).
• Must have advanced knowledge of Excel (e.g., power query, complex formulas, pivot tables, and dashboard creation and maintenance).
• Must be detail-oriented with strong interpersonal, relationship-building, analytical, problem solving, and time management skills.

Key Responsibilities:

• Troubleshoot and resolve issues with RCM software, practice management systems, and EHR-integrated billing tools, including diagnosing connectivity problems, software errors, or configuration issues that affect billing and reimbursement.
• Manage daily operations of RCM IT applications, including software applications support, electronic forms management, and ensure that all updates have been installed in a timely manner.
• Provide AR-Plus support and guidance to RCM staff, and partner with eHana support staff to resolve issues impacting RCM.
• Produce month-end and ad-hoc A/R reports, as well as reports from clearinghouse for RCM staff and Senior Director of Revenue Cycle.
• Work with the IS department to design and implement reports from the data warehouse and all other record keeping systems.
• Analyze user requirements, procedures, and problems to automate and improve existing solutions and workflows, and train agency staff for new and existing systems.
• Identify, assess and recommend RCM software application packages, assist and/or lead in their implementation and support the user base after deployment.
• Ability to analyze, implement and train agency staff for all new business software applications.
• Provide end users with assistance solving software application issues, and work with the appropriate vendor for solutions.
• Provide guidance and assistance to end users to generate, analyze and distribute data reports based on end user specifications.
• Provide support for all RCM software systems in order to help staff maximize utilization of system functionality.

Other Requirements:

• Knowledge of HIPAA 835/837 professional transactions.
• Ability to manage multiple projects and priorities simultaneously to meet established deadlines.
• Attend required orientation and trainings, including local conferences and seminars in order to stay current with insurance and applicable regulatory changes.
• Complete assigned recurring and special administrative projects in support of the RCM team and collaborating departments.
• Respond to inquiries from internal stakeholders via phone, email, chat, or in person.

Bay Cove Human Services is an Equal Opportunity Employer and does not discriminate on the basis of race, ethnicity, religion, sex, gender identity or expression, national origin, sexual orientation, disability, age, veteran status, or any other groups as protected by Massachusetts or federal law. All qualified candidates, regardless of background, are encouraged to apply.

Bay Cove Human Services does not offer visa sponsorships at this time and will require candidates to be authorized to work in the United States.

Pay Range: $90,000 - $95,000 Annual Salary