Manager, RCM

Omega Healthcare Management Services•Boca Raton, FL

2d•Remote

About The Position

The Manager, RCM directs and coordinates insurance follow-up activities within assigned department, ensuring external client satisfaction. Coordinates, manages, and facilitates workload, assignments, tasks, and projects recognizing production goals. This role requires a strong understanding of insurance claims processing, including Medicare, and involves leading a team to meet production and quality targets. The manager will be responsible for staff training, performance feedback, and ensuring compliance with company policies and HIPAA regulations. Critical thinking and problem-solving skills are essential, as is the ability to develop and maintain relationships with key business partners.

Requirements

Working knowledge of insurance claims processing, including Medicare processing.
At least 3 years’ experience in hospital or physician insurance follow-up and resolution including 2 years in a supervisory role.
Ability to prioritize and multi-task in a fast-paced, changing environment.
Demonstrate ability to work in all work types and specialties.
Demonstrate ability to self-motivate, set goals, and meet deadlines.
Demonstrate leadership, mentoring, and interpersonal skills.
Demonstrate excellent presentation, verbal, and written communication skills.
Ability to develop and maintain relationships with key business partners by building personal credibility and trust.
Maintain courteous and professional working relationships with employees at all levels of the organization.
Demonstrate excellent analytical, critical thinking and problem-solving skills.
Skill in operating a personal computer and utilizing a variety of software applications.
Critical thinking skills demonstrated by the ability to make key decisions at client sites and with the oversight of direct reports without on-going feedback or supervision from upper management.
Minimum 7+ years progressive revenue cycle experience (front + back end)
4+ years people leadership (or equivalent operational leadership with accountability for outcomes)
2+ years client-facing leadership (recurring performance reviews, escalations, stakeholder management)
4+ years Epic Experience

Nice To Haves

Bachelor's degree in business or a related field or a combination of relevant work experience and training including familiarity with Coding, CPT, Medical Terminology and Credentialing.
Project management experience a plus
HFMA CRCR
Lean Six Sigma (Green Belt+)
PMP (helpful for transitions and stabilization)
Bachelor’s degree (business/healthcare/finance or related)
Equivalent experience acceptable in lieu of degree (typically 10+ years with strong leadership outcomes)

Responsibilities

Maintain an adequately trained claims processing staff to handle current production goals within the department.
Monitor and ensure that the daily contact, production goals and quality of work are being achieved by the staff.
Track production on proper forms and documentation.
Communicate daily via email or verbally with the end client to address any operational concerns or issues that arise.
Close the loop with complete information such as root cause analysis and next steps.
Provide coaching and development daily through informal observation and formal monitoring.
Conduct daily coaching sessions with staff members and provide performance feedback.
Ensure staff understands and follows processing procedures.
Coordinate with Director any required changes.
Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.