RCM Manager

Key Responsibilities

• Partner with the Director to develop, implement, and refine revenue cycle strategies, processes, and improvement initiatives.
• Ensure continuous optimization of billing and collections to maximize revenue.

• Coordinate with Revenue Cycle supervisors and managers to streamline claims submission processes.
• Perform internal audits of high-value and high-risk claims to identify gaps and drive revenue optimization.
• Monitor and review all revenue cycle interfaces, recommend solutions, and support the implementation of process enhancements.

• Keep staff and clients updated on billing SOPs, policies, and protocols.
• Ensure revenue cycle policies and procedures are regularly reviewed, updated, and clearly communicated across the team.

• Coordinate with providers on medical necessity-related denials and implement preventive measures.
• Compile and analyze billing error data and develop corrective action plans to reduce errors.

• Conduct training sessions for staff on RCM functions, SOPs, and performance standards.
• Provide coaching, mentorship, and professional development opportunities to direct reports.
• Promote accountability, ownership, and alignment with organizational vision, mission, and values.

• Prepare audit reports and performance dashboards for leadership review.
• Anticipate operational challenges, recommend solutions, and ensure leadership is updated on performance outcomes.
• Participate in special revenue cycle projects and payer contract reviews as assigned.
  

Qualifications & Skills

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or related field (Master's preferred).
• 5+ years of progressive experience in healthcare revenue cycle management, with at least 2-3 years in managerial position
• Proven success in managing RCM.