RCM Manager

Job description

Job Title: RCM Manager Overview of the Role: This role is responsible for the daily operations of the medical Revenue Cycle Management (RCM) department, overseeing claims processing, denial management, collections, and payment posting within a healthcare context. The RCM Manager will ensure efficient workflows, maximize revenue capture, and continuously improve key performance metrics such as clean claim rates, AR aging, and denial resolution. The ideal candidate will have a strong grasp of RCM industry standards, exceptional analytical skills, and the ability to lead a team to exceed client service expectations. This position operates on an EST time schedule. Key Responsibilities: Revenue Cycle Operations Oversight: o Lead all end-to-end medical revenue cycle functions, including claims submission, charge capture, medical billing, payment posting, denial management, and collections, ensuring accuracy and compliance with healthcare industry regulations. o Establish and maintain efficient workflows, prioritizing high-quality service and prompt claims resolution to minimize AR aging. o Monitor key revenue cycle metrics (e.g., clean claim rate, denial rate, AR days) to ensure optimal...