RCM Success Manager

🕒 Junho 5

🌵 Arizona – Remoto

🌵 Arizona – Remote

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🏆 Sucesso do Cliente

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Healthcare Outcomes Performance Co. (HOPCo)

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

🏥 Saúde

🤝 B2B

☁️ SaaS

💰 Private equity em 2019-02

Healthcare • B2B • SaaS

A Healthcare Outcomes Performance Co. (HOPCo) é a maior organização de cuidados ortopédicos baseados em valor nos EUA, especializada na entrega, gestão e criação de valor em cuidados abrangentes do sistema musculoesquelético (MSK). Liderada por médicos e executivos ortopédicos, a HOPCo opera uma rede clínica integrada de MSK acreditada e oferece soluções de parceria prática e de sistema de saúde, programas de saúde populacional voltados para o pagador e cuidados baseados em valor, análises e relatórios de resultados, e ferramentas digitais de engajamento do paciente para alinhar partes interessadas, melhorar resultados e reduzir os custos totais de MSK.

Descrição

• Serve as the primary RCM strategic partner for assigned markets and physician groups • Monitor and analyze key performance indicators including charge lag, denial rates, AR aging, AR >90 days, and net collection rate • Lead monthly and quarterly revenue cycle reviews with market leadership and providers • Identify root causes of revenue leakage and assist in developing corrective action plans • Drive reduction in controllable denials through payer-specific analysis and operational collaboration • Partner with cross-functionally with key revenue cycle stakeholders to proactively identify and resolve issues impacting revenue integrity and reimbursement performance. • Support new market onboarding and RCM ASA integrations • Escalate systemic issues to executive leadership with proposed solutions • Participate in cross-functional revenue cycle initiatives and performance improvement projects

🎯 Requisitos

• Minimum 5–7 years of progressive experience in healthcare revenue cycle management • Experience working with physician practices, ambulatory surgery centers, or musculoskeletal service lines preferred • Strong understanding of payer reimbursement methodologies including Medicare Advantage, Commercial, Medicaid, and Workers’ Compensation • Advanced proficiency in Microsoft Excel and reporting tools • Ability to manage multiple markets and priorities simultaneously • BA or BS Degree preferred • CPC, CPB, CRCR, or other revenue cycle certification preferred

🏖️ Benefícios

• Remote work environment • Periodic travel to practice locations • Frequent computer use and virtual meeting participation