RCM Operations & Quality Manager II

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

⚙️ Operations

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 11%

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NextGen Healthcare

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1998

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

💰 Venture Round on 2015-02

Healthcare • Consulting • Healthcare Insurance

NextGen Healthcare is a company that provides integrated health IT solutions to ambulatory practices. Their services include electronic health records (EHR), practice management, interoperability, patient engagement, and telehealth solutions. They aim to enhance the patient and provider experience through innovative technologies such as AI-driven workflows and mobile solutions. NextGen Healthcare also offers tailored solutions for various specialties and focuses on improving clinical and financial outcomes for their clients. They support practices of all sizes, from small offices to large enterprises, and emphasize the importance of interoperability and data exchange to enhance healthcare delivery.

📋 Description

• Provide strategic oversight and leadership to RCM global partner teams • Manage complex assignments and escalations within the RCM department • Ensure daily, weekly, and monthly tasks are completed efficiently and timely • Lead onboarding and training of new employees and provide continuous feedback on global partner performance • Serve as liaison between global partner/vendor team members and management • Document departmental procedures and maintain accurate, current SOPs • Resolve escalations and escalate matters to the functional manager when necessary • Lead client discussions regarding performance, trends, and updates • Conduct regular performance meetings with employees and global partner vendors • Identify potential issues, quantify them, and implement remediation plans • Ensure SLAs and productivity requirements are met • Maintain positive relationships with internal and external customers • Ensure adherence to best-practice setups, policies, and procedures • Identify and prevent compliance issues • Ensure continuity of RCM department services when partners or assigned staff are unavailable • Develop and implement policies, procedures, and process flows for the RCM functional area • Lead department and client-specific projects, including business plan development and risk assessments • Manage and monitor Global Partner work quality • Serve as the primary RCM subject matter expert to the broader employee community • Perform other duties supporting the overall objective of the position

🎯 Requirements

• Bachelor's Degree in Finance, Accounting, or Healthcare related discipline, or any combination of education and experience which would provide the required qualifications • 7+ years of experience in revenue cycle management • 3+ years of vendor/partner management and/or client management • Knowledge of practice management systems • Knowledge of customer service best practices • Knowledge of Revenue Cycle Management principles, theories, and best practices • Knowledge of laws, regulations, policies, and procedures governing the functional area • Knowledge of Microsoft Office Suite and Windows-based programs • Effective communication with cross-functional team members, peers, and management • Customer service, problem solving, analytical, and critical-thinking skills • Ability to work independently with limited direction and/or guidance • Ability to maintain confidential information • Ability to work in a fast-paced environment, stay organized, prioritize workload, multitask, and meet deadlines

🏖️ Benefits

• Equal opportunity employer • Inclusive environment committed to diversity