Manager – RCM Project

🕒 Outubro 16

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

👻 Score fantasma 13%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 26 dias.
• As vagas desta empresa costumam ser preenchidas em 21 dias.
• Sem salário divulgado.

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PromptCare

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 1983

💼 Consultoria

📦 Logística

🏥 Saúde

Consulting • Logistics • Healthcare

A PromptCare é uma fornecedora líder de terapias respiratórias, de infusão e farmacêuticas especializadas em casa, focadas no tratamento de condições de saúde complexas e crônicas. Eles oferecem cuidados domiciliares personalizados em todo o país, planos personalizados e suporte abrangente para melhorar a qualidade de vida dos pacientes. Com uma equipe de terapeutas respiratórios especializados, enfermeiros, nutricionistas e farmacêuticos, a PromptCare proporciona transições de cuidados sem interrupções e trabalha em estreita colaboração com hospitais e especialistas para oferecer planos de tratamento customizados, gerenciar os processos de seguro e educar os pacientes e suas famílias.

Descrição

• Lead revenue cycle recovery initiatives and special projects focused on reducing accounts receivable, preventing uncollectible rental billing, resolving CMN and PAR documentation gaps, and recovering revenue through denial and write-off analysis • Manage projects from initial planning through completion, prioritizing work based on financial impact and assigning it appropriately • Oversee contracted vendor teams performing revenue cycle activities in Brightree • Collaborate with Billing, Collections, Cash Applications, Reimbursement, Patient Access, Intake, Resupply, Confirmation, Brightree System Configuration, and Field Operations teams • Scope, plan, and run worklist-driven cleanup projects across rental stops, Held A/R, CMN and PAR recovery, denials, unbilled revenue, cash posting, and payer changes • Prioritize work by dollar impact and recoverability • Define project success measures and report progress and results to revenue cycle leadership • Convert project findings into SOPs, recurring processes, system configuration actions, and handoffs to functional owners • Serve as primary point of contact for contracted vendors and Brightree service teams • Assign and hand off work queues among internal staff, vendors, and automation • Monitor vendor productivity and quality against SLAs and audit vendor work in Brightree • Investigate discrepancies between vendor-reported production and Brightree system-of-record data • Lead vendor performance reviews and corrective action plans • Support vendor onboarding, Brightree access provisioning, workflow training, and HIPAA-related coordination with IT • Recommend work allocation among internal staff, vendors, and automation • Partner with IT and automation teams to define, test, and monitor bots and automated workflows • Build and maintain project trackers, worklists, and dashboards using Brightree, Snowflake, or other reporting tools • Analyze Held, stop, denial, and write-off data to identify root causes and bulk-resolution opportunities • Coordinate with cross-functional teams to remove upstream causes of Held A/R, stops, and denials • Maintain documentation of project charters, SOPs, vendor agreements, scorecards, SLAs, and performance review outcomes • Ensure compliance with company policies, healthcare regulations, and applicable industry standards

🎯 Requisitos

• 3+ years of experience in revenue cycle management, medical billing and collections, or accounts receivable follow-up • Experience preferably in a DME/HME or healthcare setting • Experience leading projects, teams, or outsourced resources • Hands-on experience with Brightree or a comparable healthcare billing and revenue cycle platform • Understanding of rental billing, claims processing, CMN and prior authorization requirements, denials, cash posting, A/R aging, and collections • Track record of running multi-stakeholder projects to measurable financial outcomes • Experience coordinating or managing outsourced or offshore vendor teams • Strong analytical skills and ability to work through large worklists and data sets • Advanced proficiency in Microsoft Excel, including pivot tables, lookups, and reporting • Proficiency in the Microsoft Office Suite • Excellent verbal and written communication skills • Ability to manage multiple projects and competing priorities in a fast-paced environment • Preferred: Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field • Experience in DME/HME rental billing and reimbursement, particularly respiratory equipment • Experience with Snowflake, SQL, or other business intelligence and reporting platforms • Experience with robotic process automation or workflow automation in a revenue cycle setting • Familiarity with payer-specific billing and collection requirements for Medicare, Medicaid, and commercial payers • Experience developing vendor scorecards, SLAs, or performance improvement plans • Lean, Six Sigma, PMP, or other process improvement or project management training

🏖️ Benefícios

• Comprehensive Medical, Dental, and Vision Package • 401(k) Plan with Company Match • Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays • Life Insurance: Standard coverage with optional enhancements • Employee Assistance Program: Free counseling and coaching sessions • Emotional Well-being and Work-Life Balance Resources • Short & Long-Term Disability: Company-paid with optional supplements • Accidental Death and Dismemberment Insurance • FSA and HSA: Manage healthcare expenses • Commuter Spending Programs • Volunteer and Engagement Opportunities • Employee Referral Bonuses • Exclusive Discounts on entertainment, travel, and various other supplemental and cellphone plans

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