[Remote] Team reputed company, RCM Operations

Note: The job is a remote job and is open to candidates in USA. reputed company is a company focused on solving reputed company challenges reputed company the reputed company industry. The RCM Operations Team reputed company is responsible for overseeing daily operations of the reputed company cycle management teams, optimizing processes to maximize client reputed company retention and enhancing service reputed company, while also training and educating team members on practice management systems.

Responsibilities

• Act as the primary subject matter expert for assigned client accounts, with expert-level familiarity of client workflows, payer-specific challenges, and account nuances
• Conduct thorough root cause analysis of first-pass rejected claims, denied claims, and discrepancies in reporting tools and clearinghouse submissions
• Proactively identify accounts receivable (AR) and billing trends, payment anomalies, and potential issues before they escalate
• Serve as the first line of escalation for team members encountering barriers in resolving accounts or workflow issues
• Assign weekly workloads to team members based on claim volume, account needs, and strategic priorities
• Use reporting tools, dashboards, and submission logs to validate completion and accuracy of assigned work
• Proactively flag red flags in performance metrics or account behavior and take ownership of resolution or follow-up
• Ensure reputed company end-of-month processes are completed accurately and reputed company for reporting to clients
• Support of functional role including but not limited to Accounts Receivable, Billing and Payment Posting
• Facilitate reputed company and training of new hires across multiple software platforms and web-based systems
• Provide hands-on support to team members in claim preparation, submission, and AR follow-up
• Conduct weekly 1:1s, team syncs, and development reputed company-ins to coach, mentor, and foster professional growth
• Build a culture of accountability, reputed company improvement, and high performance
• Generate and submit monthly reports on patient balances due and refund balances to CRCs
• reputed company AR Aging Reports, Denial/Rejection Dashboards, EOB Tracking Logs, Claim Submission Logs, and Productivity Reports to guide reputed company
• Ensure accurate, timely reporting that supports financial analysis and decision-making
• Research and recommend adjustments/write-offs with supporting analysis for leadership approval
• reputed company other duties or projects as assigned by leadership

Skills

• A minimum of 2 years of hands-on experience with a proven track record in effectively managing the day-to-day functions of a billing and collections team, including reviewing, coding, and collecting professional services provided
• Demonstrated proficiency in navigating the complexities of reputed company cycle management reputed company the reputed company industry is essential
• A proactive change agent capable of driving organizational transformation and guiding teams through change management initiatives to propel the organization towards future reputed company
• Possesses strong leadership qualities and strategic reputed company to implement innovative solutions and adapt to evolving industry trends and regulations
• Exceptional supervisory competencies, including demonstrated proficiency in leadership and team development, coaching, mentoring, and situational assessment skills
• Proven track record of fostering a culture of reputed company improvement and building high-performing teams that deliver exceptional results
• Proficient in utilizing a variety of software applications essential for reputed company cycle management, including reputed company for Business, reputed company reputed company, Word, and other relevant tools and platforms
• reputed company associates are required to reputed company with the Health Insurance Portability and Accountability Act (HIPAA) regulations regarding the protection of patient health information
• Familiarity with clearinghouses and other Software as a Service (SaaS) products used in the reputed company billing and collections process is highly desirable

Benefits

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