Manager, RCM

🔥 3 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Just posted.
• Jobs at this company usually fill in 21 days.
• No salary listed.

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AdaptHealth

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2019

📦 Logistics

🏭 Manufacturing

🏥 Healthcare

Logistics • Manufacturing • Healthcare

AdaptHealth is a company that provides healthcare solutions with a focus on respiratory health, sleep health, diabetes health, and wellness at home. With a network of 671 locations in 47 states, AdaptHealth delivers 38,225 home medical supplies each day and holds 2,825 insurance contracts. The company is dedicated to empowering patients to live their best lives, offering products and services such as CPAP machines, oxygen supplies, diabetes supplies, and a variety of medical equipment. AdaptHealth is highly rated by its customers for fast, reliable, and courteous service. They emphasize patient care solutions that integrate seamlessly into daily life, supported by online support and fast shipping services. Their mission is to change lives by providing the necessary healthcare tools to patients nationwide.

📋 Description

• Oversee designated domestic and offshore Revenue Cycle Management staff and ensure RCM functions are completed within established timeframes • Manage day-to-day RCM team processes across locations • Create and monitor daily, weekly, monthly, and quarterly KPIs for offshore RCM staff • Track, trend, and publish metrics for completed RCM work • Ensure accurate and complete patient insurance information • Resolve billing discrepancies, unprocessed claims, denials, payer disputes, and insurance billing inquiries • Review, work, reprocess, or credit-adjust claims and accounts • Improve departmental systems and processes, quality, efficiency, and bottlenecks • Report audit metrics, accuracy, and productivity rates • Train and develop team members on AdaptHealth policies, protocols, insurance guidelines, and claim denials • Handle escalated phone calls and insurance billing issues • Communicate with other departments to resolve accounts and reduce insurance denials • Identify billing trends and root causes and report findings to management • Provide payer feedback to AdaptHealth leadership • Maintain knowledge of current HME products and services • Coordinate accurate billing and payer information in the AdaptHealth system • Ensure completion of month-end processes before close • Select and hire qualified staff, manage onboarding, training, feedback, coaching, counseling, and performance evaluations • Establish department goals and objectives aligned with organizational strategy • Achieve organizational performance and retention goals • Perform other duties as assigned

🎯 Requirements

• Associate degree from an accredited college is required; advanced degree preferred • Three (3) years’ work related in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry required • Two (2) HME claims experience is preferred • Exact job experience is considered any of the above tasks in a Medicare certified HME, IV or HH environment that routinely bills insurance • Knowledge of reimbursement billing procedures for third-party, private insurance, and government regulations • Knowledge of HME products and services • Ability to comply with federal, state, and local legal requirements • Experience overseeing domestic and offshore RCM staff and managing patient and payer accounts receivable

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