RCM Systems & Workflow Lead

Astera Cancer Care; United States; On-site; USD 65,000 - 90,000; Full time

Job summary

OneOncology seeks a System Maintenance Supervisor to maintain and monitor Revenue Cycle Management systems, building workflows to drive efficiency for the RCM teams.

You will serve as the subject matter expert for RCM systems, monitor daily and monthly automated processes, resolve tasks, run claims and statements, and support provider and location management. Strong communication, attention to detail, and customer service are essential.

Qualifications

• 2+ years of experience in RCM.
• High School diploma or equivalent.
• Experience with practice management systems.

Responsibilities

• Subject matter expert for RCM systems.
• Monitors daily and monthly automated processes in the RCM systems.
• Resolves system tasks created by the RCM team.
• Runs processes to generate claims or patient statements.
• Adds new providers and locations as requested by management.
• M aintains plan code mapping and updates payer IDs as necessary.
• Assists with the end of month close process in the practice management system.
• Participates in the monthly systems calls with practice management vendors.
• Adds or modifies rules in the rules engines and practice management systems.
• Makes necessary modifications to the practice management system master tables as requested by management.
• Assists with complex clearinghouse rejections as needed.
• Builds rules to help improve efficiency of the workflows in the RCM systems.
• Participates in development of new RCM systems or workflow changes to existing systems.

Skills

RCM experience

Customer service

Communication skills

Attention to detail

Education

High School diploma or equivalent

Tools

Practice management systems

MS Word

Excel

Outlook

Job description

OneOncology seeks a System Maintenance Supervisor to maintain and monitor Revenue Cycle Management systems, building workflows to drive efficiency for the RCM teams.

You will serve as the subject matter expert for RCM systems, monitor daily and monthly automated processes, resolve tasks, run claims and statements, and support provider and location management. Strong communication, attention to detail, and customer service are essential.