Manager, RCM

This is a fully remote position, open to applicants in United States.

📋 Description

• Supervise revenue cycle management operations and devise strategies to enhance company profitability.

• Direct both domestic and offshore RCM teams managing patient and payor accounts receivable.

• Oversee daily processes of the RCM team and ensure tasks are completed within set timelines.

• Develop and track daily, weekly, monthly, and quarterly KPIs for offshore RCM personnel.

• Monitor, analyze, and publish RCM performance metrics.

• Ensure the accuracy and completeness of insurance information, addressing any discrepancies.

• Evaluate upstream and downstream processes, recommending improvements to systems and processes.

• Enhance departmental quality and efficiency by identifying and eliminating bottlenecks.

• Report on audit metrics related to employee accuracy and productivity.

• Ensure adherence to federal, state, and local legal requirements.

• Train and develop team members on AdaptHealth policies and procedures.

• Manage escalated calls, insurance payer disputes, billing inquiries, and account inaccuracies.

• Collaborate with other departments to address billing issues and decrease insurance denials.

• Identify root causes of incorrect insurance billing and facilitate team education sessions.

• Maintain up-to-date knowledge of HME products and services, ensuring accurate billing and payor information in company systems.

• Guarantee the completion of month-end processes prior to closing.

• Select, hire, onboard, train, coach, counsel, and evaluate team members.

• Set annual departmental goals that align with the organizational strategy.

• Meet organizational performance and retention objectives and complete performance evaluations.

• Perform additional duties as assigned.

⛳️ Requirements

• An associate degree from an accredited institution is required; an advanced degree is preferred.

• Minimum of three (3) years of relevant experience in healthcare administration, finance, insurance customer service, claims, billing, call center, or management in any industry is required.

• Preferred experience includes two (2) years in HME claims.

• Relevant job experience encompasses any of the aforementioned tasks in a Medicare-certified HME, IV, or HH environment that frequently bills insurance.

• Understanding of reimbursement billing processes for third-party, private insurance, and government regulations.

• Familiarity with current HME products and services.

• Capability to manage both domestic and offshore RCM staff.

• Proficiency in tracking, trending, and publishing performance metrics.

• Ability to train, develop, and assess staff effectively.

• AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants based on protected characteristics.

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health, dental, and vision insurance.

• Retirement savings plan with company matching contributions.

• Opportunities for professional development and career advancement.

• Supportive work environment that values diversity and inclusion.