RCM/OPH Manager

Eye Care Partners Career Opportunities•Grand Rapids, MI

2h•Remote

About The Position

The RCM Manager is responsible for managing all activities within the revenue cycle management function for the region. RCM processes include but are not limited to insurance verification, authorizations, patient statements, charge entry/coding, submission of clean claims, collection of patient and insurance receivables, patient and operation communications, and credentialing.

Requirements

5+ years billing experience with proven leadership ability.
5+ years Revenue Cycle experience
2+ years Management experience in a corporate setting
Experience with accounts receivable and understanding of the revenue cycle for payors
Detail oriented, professional attitude, reliable
Management and organizational skills to support the leadership of this function
Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations
Interpersonal skills to support customer service, functional, and teammate support needs
Able to communicate effectively in English, both verbally and in writing
Ability for basic to intermediate problem solving, including mathematics
Intermediate computer operation
Proficiency with Microsoft Excel, Word, PowerPoint and Outlook
Specialty knowledge of systems relating to job function
Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines

Responsibilities

Implement and maintain an efficient workflow within the practices
Ensure that all employees within the department have received the proper level of training to complete their daily tasks
Cross training in other departments to ensure the highest level of accuracy and efficiency.
Assess new acquisition revenue cycle processes
Identify opportunities with RCM systems
Work with the Sr RCM Manager or Director in the development of streamlining processes and maintain accurate and timely billing processes
Create and implement metrics for productivity and quality
Ensure adherence to and compliance of payor, government and internal system regulatory policies
Monitor key revenue cycle management performance levels for each team member as well as each RCM team
Conduct routine monitoring and auditing activities to ensure staff production goals and quality of work is met
Conduct streamlined communication processes with practice RCM teams, Practice Administrators, RCM leadership, and various departments across the organization.
Carry out supervisory responsibilities in accordance with company policies
Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.
Performs other duties that may be necessary or in the best interest of the organization.