RCM Manager- Oral Surgery

HighFive Healthcare•Birmingham, AL

19d

About The Position

We are seeking an experienced Oral Surgery Revenue Cycle Manager to lead our RCM operations at HighFive Healthcare. The ideal candidate will possess a strong background working with large healthcare providers (50+ locations/providers) and a proven track record of leveraging automation and process improvements to optimize revenue capture. We are looking for a leader who can foster a collaborative team environment, drive continuous high growth, and ensure the financial health of our organization.

Requirements

Education: Bachelor's degree required. Preferred fields include Healthcare Administration, Business Administration, Finance, or related discipline.
Experience: Oral Surgery management experience is required.
Minimum of 3 years of progressive leadership experience in Revenue Cycle Management within a healthcare setting.
Experience managing RCM for large healthcare providers with 30+ locations or providers a strong plus.
Demonstrated expertise in implementing and optimizing RCM automation tools and technologies.
Proven track record of driving significant process improvements and achieving measurable results in RCM performance.
Exceptional analytical and problem-solving skills with the ability to interpret complex financial data and trends.
Strong understanding of healthcare billing, coding (CPT, ICD-10, HCPCS), claims submission, denial management, and collection processes.
Proficiency with various RCM software, EHR/EMR systems and data analytics tools.
Excellent leadership, communication (written and verbal), and interpersonal skills.
Ability to work collaboratively across departments and influence stakeholders at all levels.
Highly organized, detail-oriented, and able to manage multiple priorities in a fast-paced, evolving environment.

Nice To Haves

Experience in a high-growth environment is highly desirable.
Coding certification is a strong plus but not required.

Responsibilities

Strategic RCM Leadership & Automation: Develop, implement, and oversee comprehensive revenue cycle strategies aligned with organizational goals and high-growth objectives.
Identify, evaluate, and help implement automation technologies and solutions (e.g., RPA, AI-driven claim scrubbing, automated denial management) to enhance RCM efficiency, accuracy, and scalability.
Champion process re-engineering efforts to streamline workflows, reduce manual intervention, and accelerate cash flow.
Process Improvement & Optimization: Continuously analyze RCM performance metrics (e.g., A/R days, denial rates, clean claim rate, collection rates) to identify trends, root causes of issues, and opportunities for improvement.
Lead cross-functional initiatives to optimize all stages of the revenue cycle, including insurance verification, claims submission, payment posting, denials management, and collections.
Develop and implement best practices, policies, and procedures to ensure compliance, maximize reimbursement, and minimize revenue leakage.
Team Leadership & Collaboration: Manage, mentor, and develop a high-performing RCM team, fostering a culture of accountability, continuous learning, and excellence.
Promote strong collaboration between RCM, operations, integrations, finance, and other departments to ensure seamless information flow and alignment on revenue cycle goals.
Conduct regular team meetings, performance reviews, and provide constructive feedback to support professional growth.
Performance Monitoring & Reporting: Establish and monitor key performance indicators (KPIs) and service level agreements (SLAs) for all RCM functions.
Prepare and present detailed RCM performance reports to senior leadership, highlighting achievements, challenges, and strategic recommendations.
Forecast revenue trends and potential risks, proactively developing mitigation strategies.
Compliance & Audit: Ensure strict adherence to all relevant healthcare regulations, payer requirements, HIPAA, and other compliance standards.
Oversee and conduct audits related to billing and collections, implementing corrective actions as needed.
Vendor Management: Manage relationships with third-party RCM vendors, billing services, and technology providers to ensure optimal performance and cost effectiveness through SLA’s and quality audits.