Essential Job Functions
Oversee RCM and HIM functions to ensure all activities align with organizational policies, procedures, and client contract requirements.
Manage workloads and identify priorities to ensure all daily, weekly, and monthly revenue and cash production goals are achieved.
Analyze and monitor operational KPI metrics by client; proactively identify trends and implement corrective actions for performance variances.
Continually assess staff workflows and systems to streamline processes, improve performance, and create a cost-effective use of resources.
Implement operational improvements and collaborate with senior leadership to adjust processes for enhanced efficiency.
Establish and adjust staffing levels based on account volume and revenue to maintain optimal production levels.
Lead monthly and quarterly meetings with clients; serve as a Revenue Cycle subject matter expert (SME) to advise clients on industry best practices.
Serve as the primary point of contact for escalated operational issues, ensuring timely and effective resolution.
Oversee the compilation and review of comprehensive Revenue Cycle performance reports for internal and external stakeholders.
Direct management activity related to hiring, training, coaching, and performance appraisals for the RCM and HIM management teams.
Effectively manage and coordinate with global resources (offshore teams) to ensure seamless delivery.
Ensure all operations comply with Federal, State, and Local laws, including HIPAA and specific client audit requirements.
Key Success Indicators/Attributes
Supervisory Responsibility
Yes. This role has direct supervisory responsibility for a management team which may include: Sr. Managers, Managers, Supervisors, and functional leads across Billing, Coding, and Insurance Follow-up.
Work Environment
This job operates in a remote home office environment. This role routinely uses standard office equipment such as computers and phones.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to
successfully perform the essential functions of this job.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus.
Position Type/Expected Hours of Work
This is a full-time position. Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5 p.m. This position occasionally requires long hours and weekend work.
Travel
Travel required; up to 20%
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Employee may perform other duties as assigned.
Required Education and Experience
Bachelor’s degree in business, HIM or a related field (or equivalent experience).
Minimum 7–10 years of experience in Revenue Cycle and HIM leadership roles.
At least 5 years of experience in a management capacity, including oversight of multiple functional areas (Patient Access, Coding, CDI, and/or Billing).
Hands-on experience with scheduling, coding, billing, and Practice Management Systems (PMS).
Preferred Education and Experience
Master’s degree.
Experience in second-line leadership.
Experience in staffing preferred.