RCM Service Manager

🕒 vor 27 Tagen

🇺🇸 Vereinigte Staaten – Remote

💵 $50.000 - $60.000 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👔 Manager

🦅 H1B-Visum-Sponsor

Dieses Unternehmen hat in der Vergangenheit H1B-Visa gesponsert.

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Lebenslauf hochladen

EverCommerce

WebsiteLinkedInAlle Stellen

1001 - 5000 Mitarbeiter

Gegründet 2016

🏥 Gesundheitswesen

💼 Beratung

📦 Logistik

💰 Private Equity Round im 2019-07

Healthcare • Consulting • Logistics

EverCommerce ist die führende Plattform für Service Commerce und bietet vertikal angepasste, integrierte SaaS-Lösungen für über 500. 000 servicebasierte Unternehmen weltweit. Gegründet im Jahr 2016, bietet EverCommerce Softwarelösungen an, die Unternehmen dabei helfen, ihre Dienstleistungen zu vermarkten, den täglichen Betrieb zu optimieren und die Kundenbindung zu stärken. Das Unternehmen ist darauf spezialisiert, die Servicewirtschaft mit digitaler Transformation in verschiedenen Branchen, einschließlich Haus- & Außendienstleistungen, Gesundheitsdiensten sowie Fitness & Wellness, voranzutreiben. Die Technologie von EverCommerce zielt darauf ab, das Wachstum von kleinen und mittleren Unternehmen zu beschleunigen, die Betriebsabläufe zu verbessern und die Kundenbindung zu erhöhen, indem sie die Interaktion mit Kunden durch moderne digitale und mobile Anwendungen transformiert.

Beschreibung

• Serve as the primary point of contact for assigned RCM clients. • Lead recurring client meetings focused on performance, trends, action plans, and overall account health. • Build trusted relationships through proactive communication, responsiveness, and strategic guidance. • Manage escalations professionally and drive timely resolution. • Own clinic revenue cycle KPI performance, including but not limited to: Days in Accounts Receivable, AR Aging >90 Days, Clean Claim Rate, Denial Rate, First Pass Resolution / Payment Rate, Collection Performance. • Identify root causes impacting financial performance and recommend solutions. • Develop action plans to improve collections, reduce aging, and optimize workflows. • Monitor payer trends, reimbursement patterns, denials, and operational risks. • Partner with claims, billing, coding, posting, and vendor teams to ensure execution is timely, accurate, and aligned to client goals. • Coordinate internal stakeholders to resolve blockers and improve workflows. • Ensure system configurations and billing parameters support accurate claim submission and payment maximization. • Maintain strong awareness of clearinghouse operations, eligibility workflows, claim status tools, and payer processes. • Prepare and present monthly and quarterly business reviews to clients. • Analyze trends, financial outcomes, and operational performance using reporting tools and dashboards. • Provide executive summaries and recommendations to leadership as needed. • Support development of new reporting tools, dashboards, and operational insights. • Ensure adherence to HIPAA privacy and security standards. • Maintain awareness of Medicare, payer, and revenue cycle regulatory changes. • Document workflows, protocols, and best practices for internal consistency and scalability. • Participate in ongoing training and professional development.

🎯 Anforderungen

• Minimum 3+ years of experience in healthcare account management, revenue cycle management, or medical billing operations. • Experience in outsourced billing, multi-specialty, or multi-client healthcare environments preferred. • Strong client-facing experience with ability to manage relationships and escalations. • Working knowledge of medical billing, coding, front office workflows, payer reimbursement, and physician practice operations. • Strong understanding of Medicare, commercial insurance, HMOs, PPOs, and HIPAA regulations. • Excellent analytical, organizational, and problem-solving skills. • Advanced Microsoft Excel skills including formulas, pivot tables, lookups, conditional formatting, and data analysis preferred. • Experience with EHR / PM systems and healthcare technology platforms preferred. • Experience using Salesforce, Zoom, and Google preferred. • Strong project management and follow-through skills. • Data-driven mindset with strong business acumen. • Excellent written, verbal, and presentation communication skills.

🏖️ Vorteile

• Flexibility to work where/how you want within your country of employment – in-office, remote, or hybrid • Continued investment in your professional development • Day 1 access to a robust health and wellness benefits package, including an annual wellness stipend. • 401k with up to a 4% match and immediate vesting • Flexible and generous (FTO) time-off • Employee Stock Purchase Program