Manager – RCM Project

🕒 il y a 8 jours

🇺🇸 États-Unis – Télétravail

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

👻 Score fantôme 10%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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PromptCare

Site WebLinkedInTous les Emplois

501 - 1000 employés

Fondée en 1983

💼 Conseil

📦 Logistique

🏥 Santé

Consulting • Logistics • Healthcare

PromptCare est un fournisseur de premier plan de thérapies respiratoires, d'infusion et de pharmacie spécialisée à domicile, axé sur le traitement des états de santé complexes et chroniques. Ils offrent des soins à domicile sur mesure à l'échelle nationale, des plans personnalisés et un soutien global pour améliorer la qualité de vie des patients. Avec une équipe de thérapeutes respiratoires, d'infirmières, de diététiciens et de pharmaciens experts, PromptCare assure des transitions de soins fluides et travaille en étroite collaboration avec les hôpitaux et les spécialistes pour fournir des plans de traitement personnalisés, gérer les processus d'assurance et éduquer les patients et leurs familles.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

• 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