RCM Service Manager

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

📋 Description

• Act as the main contact for designated RCM clients.

• Facilitate regular client meetings that focus on performance metrics, trends, action plans, and the overall health of accounts.

• Establish trusted relationships through proactive communication, responsiveness, and strategic advice.

• Professionally handle escalations and ensure timely resolutions.

• Assist with client renewals, changes in plans, additions/removals of providers, and other transitions related to accounts.

• Oversee clinic revenue cycle KPI performance, which includes but is not limited to: Days in Accounts Receivable, AR Aging >90 Days, Clean Claim Rate, Denial Rate, First Pass Resolution/Payment Rate, and Collection Performance.

• Identify underlying issues affecting financial performance and propose solutions.

• Create action plans aimed at enhancing collections, minimizing aging, and streamlining workflows.

• Track payer trends, reimbursement patterns, denial rates, and operational risks.

• Collaborate with claims, billing, coding, posting, and vendor teams to ensure timely and accurate execution aligned with client objectives.

• Coordinate with internal stakeholders to eliminate obstacles and enhance workflows.

• Ensure that system configurations and billing parameters facilitate accurate claim submissions and maximize payments.

• Stay informed about clearinghouse operations, eligibility workflows, claim status tools, and payer processes.

• Prepare and deliver monthly and quarterly business reviews to clients.

• Analyze trends, financial results, and operational performance using reporting tools and dashboards.

• Provide executive summaries and recommendations to leadership as required.

• Ensure compliance with HIPAA privacy and security standards.

• Stay updated on Medicare, payer, and revenue cycle regulatory changes.

• Document workflows, protocols, and best practices to ensure internal consistency and scalability.

• Engage in ongoing training and professional development.

⛳️ Requirements

• At least 3+ years of experience in healthcare account management, revenue cycle management, or medical billing operations.

• Preferred experience in outsourced billing, multi-specialty, or multi-client healthcare settings.

• Strong client-facing experience with the ability to manage relationships and address escalations.

• Working knowledge of medical billing, coding, front office workflows, payer reimbursement, and operations in physician practices.

• Solid understanding of Medicare, commercial insurance, HMOs, PPOs, and HIPAA regulations.

• Exceptional analytical, organizational, and problem-solving abilities.

• Advanced skills in Microsoft Excel, including formulas, pivot tables, lookups, conditional formatting, and data analysis.

• Experience with EHR/PM systems and healthcare technology platforms.

• Familiarity with Salesforce, Zoom, and Google applications.

• Strong project management and follow-through capabilities.

• Data-driven mindset with solid business acumen.

• Outstanding written, verbal, and presentation communication skills.

🏝️ Benefits

• Flexibility to work in a manner that suits you—whether in-office, remote, or hybrid—within your country of employment.

• Ongoing investment in your professional development.

• Immediate access to a comprehensive health and wellness benefits package, which includes an annual wellness stipend.

• 401k plan with up to a 4% match and immediate vesting.

• Flexible and generous (FTO) time-off policy.

• Employee Stock Purchase Program.