Subject Matter Expert

As the ideal candidate for this role, you will be responsible for serving as a primary knowledge source for the Revenue Cycle Management (RCM) process, offering guidance and direction to the RCM team. You will be tasked with analyzing revenue cycle trends, aiming to enhance and streamline processes effectively. Additionally, your role will involve training team members on updated RCM procedures and guidelines, ensuring their proficiency in the field. Your expertise will be crucial in participating in client meetings, offering expert insights into the RCM process and addressing escalated complex RCM issues. It will be your responsibility to develop and uphold documentation of RCM procedures and guidelines, staying updated on changes in healthcare regulations, medical coding, and billing practices. Collaboration with other departments is essential to maintain the integrity of the RCM process, where you will recommend process improvements to enhance accuracy, efficiency, and revenue. Compliance with state and federal regulations as well as company policies will be a key focus area in this role. To qualify for this position, you should hold a Bachelor's degree in Business, Healthcare Management, or a related field and possess a minimum of 5 years of experience in healthcare RCM, demonstrating a successful track record in a similar capacity. A comprehensive understanding of medical terminology, CPT, ICD-10, and HCPCS coding is essential, along with strong analytical and problem-solving skills. Excellent communication skills, both verbal and written, are required, as well as proficiency in MS Office Suite and medical billing software. Experience in providing training and mentoring to team members, an understanding of healthcare regulations including HIPAA, and the ability to work independently, manage time efficiently, and make informed decisions under pressure are all crucial for this role. Holding a certification in medical billing or coding, such as CPC, would be advantageous.,