RCM Success Manager

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🔥 3 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏆 Customer Success

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Healthcare Outcomes Performance Co. (HOPCo)

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🤝 B2B

☁️ SaaS

💰 Private equity on 2019-02

B2B • SaaS

Healthcare Outcomes Performance Co. (HOPCo) is the largest orthopedic value-based care organization in the U. S. , specializing in comprehensive musculoskeletal (MSK) care delivery, management, and value creation. Led by orthopedic physicians and executives, HOPCo operates an accredited MSK clinically integrated network and offers practice partnership and health system solutions, payor-facing population health and value-based care programs, analytics and outcomes reporting, and digital patient engagement tools to align stakeholders, improve outcomes, and lower total MSK costs.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

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