Senior Manager, RCM

AdaptHealth LLC; United States; Remote; USD 90,000 - 140,000; Full time

Job summary

AdaptHealth LLC is seeking a regional Revenue Cycle Management leader to oversee RCM staff and processes, drive improvements, and ensure compliance across multiple sites. You will coach staff, standardize workflows, and partner with departments to optimize patient experiences and revenue outcomes.

The role demands strong analytical skills, attention to detail, and the ability to mentor teams while maintaining HIPAA compliance and high standards of service.

Qualifications

• Strong decision making and problem solving skills.
• Ability to extract system data, analyze, and report outcomes.
• Leadership in a multi-site environment with coaching and mentoring.
• Excellent organizational skills and attention to detail.
• Ability to work independently and follow detailed directives.
• Identifies weaknesses and offers creative process improvements.
• Proven comfort with learning new technologies and data flow.
• Proficient with standard office software and data tools.

Responsibilities

• Oversee RCM staff and processes within the region.
• Identify root causes of referral process issues and drive improvements.
• Coach staff, conduct performance evaluations, and address corrective actions.
• Facilitate cross-departmental initiatives to achieve company goals.
• Ensure compliance standards and HIPAA guidelines are followed.
• Standardize processes across branches and train staff accordingly.
• Address customer questions and resolve complaints regarding services.
• Use reporting tools to boost productivity and monitor performance.

Skills

Decision making

Problem solving

Data extraction

Leadership

Organizational skills

Independent work

Process improvement

Technical aptitude

Microsoft Office

Tools

Microsoft Office

Job description

Responsible for the overall management of Revenue Cycle Management process and functions within a region. Works as a liaison between all departments within the region to improve processes and efficiencies. Responsible for following standardized processes and ensuring standards and metrics are met associated with timeliness and RCM processes. Ensures staff are appropriately trained and held accountable for achieving departmental standards and goals.Identifies root cause issues and works with others to improve overall processes.

Essential Functions and Job Responsibilities:

• Responsible for oversight of RCM staff.
• Identifies root cause issues with referral processes and works with others to improve overall processes.
• Creates an expectation of excellence, and improves staff performance, development, and moral, through timely, fair, and accurate performance evaluations, daily coaching, and mentoring, and or appropriate corrective action as needed.
• Assists in the achievement of company goals and objectives by encouraging and facilitation cross-departmental initiatives and cooperation.
• Ensuring achievement of compliance standards.
• Responsible for holding self and team members accountable.
• Responsible for contributing to the development and/or maintenance of Standard Operating Procedures that support the work of the team.
• Responsible for ensuring that the actions of the team and others support the achievement of our patient experience.
• Standardize processes and procedures between branches as much as possible and cross train on different functions.
• Ensure adherence to quality standards, deadlines, proper procedures, regulations, and correcting errors or problems.
• Resolve customer complaints or answer customers' questions regarding products or service.
• Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes.
• Implement corporate or departmental policies, procedures, and service standards in conjunction with management.
• Utilize reporting and data functionalities to increase output and improve assigned staff performance.
• Implement methods of identifying potential issues and errors within the department and finding solutions.
• Asses, review and offer strategic ideas to improve best business practices related to process workflow, increased production output and reducing cost, specifically associated to held revenue.
• Assist with implementation of quality improvement programs (process) to meet company policies.
• Develop and maintain working knowledge of current products and services offered by the company.
• Maintain patient confidentiality and function within the guidelines of HIPAA.
• Completes assigned compliance training and other educational programs as required.
• Maintains compliant with AdaptHealth’s Compliance Program
• Performs other related duties as assigned during and after normal business hours.

Management/Supervision:

• Responsible for selection and hiring of qualified staff, ensuring an effective on-boarding, and providing comprehensive training and regular feedback.
• Accomplishes staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards.
• Establishes annual goals and objectives for the department based on the organization’s strategic goals.
• Responsible for achieving organizational performance and retention goals, including timely completion of performance evaluations.

Competency, Skills and Abilities:

• Decision making, and problem-solving skills with attention to detail prioritizing and manage multiple tasks.
• Ability to extract system data, analyze, and report outcomes.
• Leadership skills with ability to manage in a multi-site environment.
• Strong organizational skills with ability to follow through.
• Ability to work independently as well as follow detailed directives.
• Ability to recognize weakness in existing systems and processes, track results, and offer creative solutions.
• Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction.
• Computer skills including knowledge of Microsoft Office applications

Requirements

Education and Experience Requirements:

• Three (3) years of customer service experience, management in any industry required.
• Two (2) years of HME, Pharmacy, Diabetic or medical supplies management experience required.

Physical Demands and Work Environment:

• Work environment may be stressful at times, as overall office activities and work levels fluctuate.
• Must be able to bend, stoop, stretch, stand, and sit for extended periods of time and ability lift to 10lbs as needed
• Subject to long periods of sitting and exposure to computer screen.
• Ability to perform repetitive motions of wrists, hands, and/or fingers due to extensive computer use.
• Ability to utilize a personal computer and other office equipment.
• May be exposed to angry or irate customers or patients.
• Physical and mental ability to analyze data and conduct research.
• Ability to work independently with little or no supervision.
• Mental alertness to perform the essential functions of position.
• Excellent ability to effectively communicate both verbally and written with customers with the ability to demonstrate empathy, compassion, courtesy, and respect for privacy
• Must be able to drive and travel as needed.
• Ability to work after non-business hours as needed.