DESCRIPTION

Job Overview

The RCM Manager is responsible for overseeing all revenue cycle activities, including supervising team members, developing and maintaining processes that support the full revenue cycle, and delivering exceptional customer service to clients. This role ensures billing and collection activities are compliant, timely, and accurate, while maintaining adherence to HIPAA privacy and security regulations.

As a key leader within the Revenue Cycle Management (RCM) team, the RCM Manager will collaborate with cross-functional stakeholders and support initiatives that improve revenue cycle performance, operational efficiency, and client satisfaction.

Responsibilities and Duties

• Serve as a key member of the revenue cycle leadership team to support and execute critical initiatives
• Develop and maintain strong relationships with internal stakeholders, including Finance, Product, Client Success, and Senior Leadership, as well as client leadership teams
• Plan and manage team workload to ensure operational efficiency and service quality
• Act as a subject matter expert for billing-related issues that impact the revenue cycle
• Lead communication across stakeholder groups and provide insights into software-related issues affecting revenue cycle operations
• Participate in initiatives that drive performance improvement and strategic objectives
• Conduct research and ad hoc analysis to support revenue cycle goals
• Monitor and maintain awareness of revenue cycle performance across client accounts
• Cultivate strong client relationships through proactive communication and outreach
• Maintain and enhance Key Performance Indicators (KPIs) used to monitor account performance in real time
• Maintain strong knowledge of Medicare, Medicaid, and private insurance billing guidelines and regulations
• Collaborate with RCM leadership to align department resources with client account performance goals
• Generate or obtain custom reports necessary for effective client account management
• Manage and continuously improve the onboarding and offboarding experience for RCM clients
• Utilize system tools and periodic audits to identify at-risk accounts and determine appropriate actions by Careficient and/or the client
• Assist in resolving client-related issues and concerns in a timely and professional manner
• Exercise sound judgment in decision-making to consistently deliver best-in-class customer service
• Develop scalable processes and efficient tools to improve operational efficiency and client engagement
• Support additional projects and initiatives as needed

Qualifications

• High school diploma or GED required
• 5+ years of experience in medical revenue cycle management, accounts receivable, or claims resolution
• Prior leadership experience within Revenue Cycle Management required
• Strong knowledge of Home Health and Hospice billing and regulatory requirements
• Proficiency with Microsoft Office Suite
• Knowledge of insurance guidelines for Medicare, Medicaid, and commercial payers
• Ability to travel based on business needs

Interaction

This role works closely with stakeholders across multiple departments throughout the organization. The ability to collaborate effectively with team members and leadership within the Revenue Cycle Management department is essential to success in this role.

Supervisory Responsibilities

This role may include supervisory responsibilities in accordance with corporate policies and applicable laws. Responsibilities may include interviewing, hiring, and training employees; planning and assigning work; directing daily activities; evaluating performance; rewarding and disciplining employees; and addressing employee concerns or resolving problems.

Communication and Cognitive Abilities

• Collaborate effectively with matrixed team members to achieve goals and complete tasks
• Ability to work effectively in ambiguous or high-pressure situations
• Self-motivated with strong attention to detail and the ability to seek guidance when needed
• Demonstrated flexibility with the ability to quickly adapt to changing priorities and manage multiple tasks
• Strong collaboration skills with a focus on process improvement
• Exceptional organizational and time management skills
• Excellent communication and interpersonal abilities
• Ability to quickly learn new technologies and apply them to meet client needs
• Ability to work effectively as part of a geographically dispersed team
• Ability to work both independently and collaboratively
• Stay current on technology trends, developments, and industry best practices
• Communicate effectively with both technical and non-technical audiences

Note: This job description is not intended to be all-inclusive. Additional responsibilities may be assigned to meet evolving organizational needs