RCM/Billing Working Managaer

MedHQ•San Mateo, CA

About The Position

MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. MedHQ serves Physician Practices, Ambulatory Surgery Centers (ASCs), Hospital and Healthcare Outpatient Facilities nationwide. Responsibilities: Leadership and Staff Management: Oversee day‑to‑day billing operations across multiple specialties, with emphasis on orthopedics and ASC billing. Manage and mentor billing staff; drive accountability, productivity, and professional development. Perform hands‑on billing functions as needed (coding review, claim corrections, denials, appeals). Develop, analyze, and present RCM performance reports, KPIs, and forecasting. Drive process improvement initiatives to reduce denials, accelerate cash flow, and improve accuracy. Ensure compliance with payer rules, state/federal regulations, and industry best practices. Maintain proficiency in multiple practice management and EHR systems. Conduct regular performance evaluations, provide feedback, and implement training programs to enhance staff skills and knowledge. KPI Monitoring and Performance Management: Collaborate with leadership to implement and monitor KPIs to measure the efficiency and effectiveness of the revenue cycle processes. Regularly monitor and analyze performance data, identify areas for improvement, and implement corrective actions to optimize revenue cycle operations. Ensure timely and accurate submission of claims, payment posting, denial/appeal management, coding, and accounts receivable follow-up. Culture and Process Improvement: Promote a culture of continuous pursuit of Awesome, encouraging teamwork, collaboration, and efficiency. Identify process bottlenecks and develop strategies to streamline operations and enhance revenue cycle performance. Drive the adoption of best practices, technologies, and teamwork to optimize revenue cycle processes. Join our dynamic team and make a significant impact on our revenue cycle operations. Apply now and help us maintain efficient billing and coding processes while driving a culture of Awesome! Your final compensation package will be competitive and commensurate with experience, including benefits.

Requirements

3–5+ years in medical billing leadership (RCM Manager, Billing Supervisor, etc.).
Proven experience with orthopedic and ASC billing, including high‑volume surgical claims.
Strong staff leadership, team motivation, and performance management skills.
Advanced reporting experience—comfort with dashboards, KPI analysis, and financial metrics.
Analytical mindset with the ability to identify areas for improvement and drive process optimization.
Willingness to “roll up your sleeves” and directly work accounts when needed.
Proficiency with multiple systems, including: HST SIS (Surgical Information Systems) Epic AdvancedMD

Nice To Haves

Certification in medical coding (e.g., CPC, CCS) is a plus.

Responsibilities

Oversee day‑to‑day billing operations across multiple specialties, with emphasis on orthopedics and ASC billing.
Manage and mentor billing staff; drive accountability, productivity, and professional development.
Perform hands‑on billing functions as needed (coding review, claim corrections, denials, appeals).
Develop, analyze, and present RCM performance reports, KPIs, and forecasting.
Drive process improvement initiatives to reduce denials, accelerate cash flow, and improve accuracy.
Ensure compliance with payer rules, state/federal regulations, and industry best practices.
Maintain proficiency in multiple practice management and EHR systems.
Conduct regular performance evaluations, provide feedback, and implement training programs to enhance staff skills and knowledge.
Collaborate with leadership to implement and monitor KPIs to measure the efficiency and effectiveness of the revenue cycle processes.
Regularly monitor and analyze performance data, identify areas for improvement, and implement corrective actions to optimize revenue cycle operations.
Ensure timely and accurate submission of claims, payment posting, denial/appeal management, coding, and accounts receivable follow-up.
Promote a culture of continuous pursuit of Awesome, encouraging teamwork, collaboration, and efficiency.
Identify process bottlenecks and develop strategies to streamline operations and enhance revenue cycle performance.
Drive the adoption of best practices, technologies, and teamwork to optimize revenue cycle processes.