National Manager RCM - Remote

Full Time
United States
Posted
Job description

Overview

:
The RCM Manager will have oversight of Offshore, Coverage Detection, and Special Projects to assist with driving billing efficiencies across the organization. They will monitor SLA performance, assess penalties if any vendors are in breach, create SLAs for new lines of business, manage escalation log, and maintain forecast for offshore FTEs by function by region. They will also manage the Coverage Detection and Coverage IQ processes with external vendors. Finally, they will assist with special process improvement projects at a national level with Operations, Quickbase, and Athena Health.

Job Highlights

:
ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):
  • Maintain monthly staff and cost inventory for actuals and forecast
  • Manage adding and removing offshore staff based on volume from integrations, acquisitions, or lost sites
  • Create staffing models for one-time projects
  • Work with offshore vendors and Legal on SOWs for new lines of business
  • Create SLAs for new lines of business for pricing, productivity, QA requirements, and other metrics
  • Review quarterly SLA agreements and assess penalties if they are not met to the offshore vendors
  • Attend weekly meetings with regional leadership and offshore partners to discuss new business, issues, IT constraints, etc.
  • Meet bi-weekly with offshore vendors to discuss open issues or concerns
  • Manage escalation issue log with Operations and offshore vendors
  • Review monthly invoices and send to Operations to approve / validate FTE’s and KPI’s
  • Communicate with Operations and offshore vendors system downtime, holidays, or other events that might impact hours of operation
  • Oversee Coverage Detection and Coverage IQ processes with external vendors regarding insurance coverage and discovery
  • Assist with special ad hoc projects around EDI, ERA, Eligibility, Productivity, and other initiatives assigned to the Shared Services organization
  • Partner with CRT and Operations management to track productivity and span of control

REPORTING TO THIS POSITION: Does not have direct reports

Qualifications

:
JOB REQUIREMENTS (Knowledge, Skills and Abilities):
  • Requires a bachelor's degree and 10+ years of experience in RCM
  • Detailed knowledge of end-to-end revenue cycle management operations
  • Experience with offshore vendor processes, functions, SLAs, SOWs, and contracting
  • Advanced Microsoft Excel Skills, Power BI, and SQL Server.
  • Project management
  • Ability to identify process gaps and innovate solutions with minimal supervision
  • Proficient reporting skills (dashboard design and deployment)
  • Demonstrated success in developing, maintaining, and supporting data models
  • Ability to analyze and reconcile large sets of data
  • Ability to interact and engage senior level executives for requirements gathering and work product feedback
  • Willing to learn new reporting tools, processes, and data types. Self-motivated, with a sense of autonomy, initiative, and responsibility

ADDITIONAL EDUCATION/TRAINING/EXPERIENCE:

  • Power BI or Tableau
  • Power Platform (Including PowerApps and Power Automate)
  • Centricity Business

PHYSICAL REQUIREMENTS:

  • Requires prolonged sitting, some bending, stooping and stretching
  • Must possess sufficient eye-hand coordination/manual dexterity to operate a keyboard, photocopier, telephone, calculator, and other office equipment
  • Required normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and evaluations.
  • Requires lifting papers and boxes weighing up to 35 pounds occasionally
  • Requires dexterity to type at least 35 wpm.

WORKING CONDITIONS
(environment and safety):
  • Work performed in office environment
  • Involves frequent contact with professional staff and managed care organizations
  • Work may be stressful at times
  • Interaction with others is frequent and often disruptive

disclaimer:
The above job description has been written to indicate the general nature and level of work performed by employees within this classification. It is not written to be inclusive of all duties, responsibilities and qualifications required of employees assigned to this job.

Remote:
As this opportunity can be remote, interested candidates should reside in the states that USAP is incorporated to do business in. This includes Alabama, Arizona, Colorado, Georgia, Florida, Illinois, Indiana, Louisiana, Maine, Michigan, Missouri, Maryland, Nevada, North Carolina, New Jersey, Ohio, Oklahoma, Pennsylvania, South Carolina, Texas, Washington, and Wisconsin.


Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.

colinoncars.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, colinoncars.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, colinoncars.com is the ideal place to find your next job.

Intrested in this job?

Related Jobs

All Related Listed jobs