RCM Manager- Remote

About the position Welcome to Veradigm, where our Mission is transforming health, insightfully. Join the Veradigm team and help solve many of today's healthcare challenges being addressed by biopharma, health plans, healthcare providers, health technology partners, and the patients they serve. At Veradigm, our primary focus is on harnessing the power of research, analytics, and artificial intelligence (AI) to develop scalable data-driven solutions that bring significant value to all healthcare stakeholders. Together, we can transform healthcare and enable smarter care for millions of people. This is a fully remote position. Candidate must be able to work normal PST hours. As a Manager of the Revenue Cycle Management (RCM) team, you will oversee all related medical billing activities aimed at maximizing accounts receivable collections for clients. You will not only perform similar work but also ensure group productivity and performance in accordance with financial goals to maintain the health of the client's Accounts Receivable. Your role will involve providing oversight and review of the team, processes, and workload efficiently and effectively. In this position, you will be responsible for ensuring strong customer service skills for client satisfaction, managing the health of client AR, and overseeing RCM team members in addressing client inquiries. You will track clients' AR productivity and health, analyze reports to identify issues, and follow up to ensure corrective actions are taken. Additionally, you will be responsible for staff productivity in following up on unpaid, denied, and underpaid claims, ensuring accurate coding, and handling correspondence. You will meet with client representatives to review billing progress and resolve any issues, ensuring that all charges are entered accurately into the medical billing system. Your proactive engagement with clients and their patients will be crucial in resolving issues and responding to questions in a timely manner. Regular meetings with staff will help confirm the status of client accounts and drive business results and improvements. You will also review work performed by outside vendors for accuracy and production, and work on achieving goals set forth by management and compliance requirements.

Responsibilities

• Manage an RCM team responsible for all related medical billing activity to maximize accounts receivable collections for clients.

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• Oversee and ensure group productivity and performance in accordance with financial goals.

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• Provide oversight and review of the team, processes, and workload efficiently and effectively.

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• Ensure strong customer service skills for client satisfaction and management of RCM team members answering client inquiries.

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• Track clients' AR productivity and health on a daily, weekly, and/or monthly basis to meet expectations.

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• Analyze reports to determine causes of decrease in clients' AR and communicate corrective actions with clients and staff.

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• Follow up to ensure actions are taken that achieve the desired results and determine other resolutions as needed.

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• Responsible for staff productivity in following up on unpaid, denied, and underpaid claims, including contacting insurance companies for claim status.

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• Ensure accurate entry of all charges into the medical billing system, including correct CPT codes, modifiers, and ICD codes.

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• Interact with clients and their patients to engage in proactive resolution of issues and timely responses to questions.

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• Deliver timely required reports to RCM Management and communicate the resolution of issues.

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• Meet regularly with staff to confirm the status of client accounts and build staff engagement to drive business results.

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• Review work performed by outside vendors for accuracy and production, and determine necessary changes or improvements.

Requirements

• Bachelor's Degree or equivalent Technical / Business experience (Required).

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• 8+ years relevant work experience; 2-3 years at the Expert level or equivalent experience (Preferred).

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• Prior experience on Veradigm PM (Preferred).

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• Prior experience on Practice Fusion EMR (Preferred).

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• Experience working with India associates or vendor relationships (Preferred).

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• 2-4 years relevant leadership experience (Preferred).

Nice-to-haves

• Experience in healthcare billing and coding processes.

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• Familiarity with medical billing systems and software.

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• Strong analytical skills to interpret financial data and reports.

Benefits

• Comprehensive compensation and benefits package including holidays, vacation, medical, dental, and vision insurance.

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• Company paid life insurance and retirement savings.

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