TL;DR
Oversees revenue cycle operations, driving financial performance and operational excellence.
- •The RCM Lead oversees revenue cycle operations, driving financial performance and operational excellence.
- •Key Responsibilities Hire, manage, and lead high-performing teams responsible for billing, EDI, denial management, and payment posting.
- •Drive RCM KPIs and outcomes by addressing claim-level issues alongside billers.
- •Build and scale the department by creating standardized processes and data management frameworks.
- •Oversee customer portfolios by adjusting resourcing and priorities to ensure high-quality service delivery.
- •Act as the primary point of contact for complex customer issues, providing expert consultation and resolutions.
- •Requirements 8-12+ years of medical billing experience, including at least 2-3 years of experience building and leading large, high-performing teams.
- •Strong track record of driving revenue outcomes and efficiencies for RCM functions.
- •Strong analytical skills and a learning and investigative mindset.
- •Capable of rolling up sleeves at an operational and tactical level to drive results alongside the team.
- •Experience across a wide range of the revenue cycle: EDI Enrollments, Payment Posting and Reconciliation, Denial Resolution and Management, etc.
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