RCM Success Manager
About The Position
The RCM Success Manager will serve as the primary RCM strategic partner for assigned markets and physician groups. This role involves monitoring and analyzing key performance indicators, leading revenue cycle reviews, identifying root causes of revenue leakage, and driving reductions in controllable denials. The position requires partnering cross-functionally with stakeholders to resolve issues impacting revenue integrity and reimbursement performance, supporting new market onboarding, and escalating systemic issues with proposed solutions. The RCM Success Manager will also participate in cross-functional revenue cycle initiatives and performance improvement projects.
Requirements
- Minimum 5–7 years of progressive experience in healthcare revenue cycle management
- Demonstrated experience analyzing financial and operational performance metrics
- Experience leading cross-functional initiatives and presenting to executive leadership
- Ability to travel periodically to assigned markets
- Strong understanding of payer reimbursement methodologies including Medicare Advantage, Commercial, Medicaid, and Workers’ Compensation
- Advanced proficiency in Microsoft Excel and reporting tools
- Ability to manage multiple markets and priorities simultaneously
- Revenue cycle workflows from front-end through denial resolution and collections
- CPT/HCPCS coding fundamentals and modifier usage
- Accounts receivable management strategies
- Regulatory compliance related to revenue cycle operations
- Advanced analytical and financial interpretation skills
- Executive-level presentation and communication skills
- Strong problem-solving and critical-thinking abilities
- Data visualization and dashboard development
- Cross-functional collaboration and relationship management
- Project management and organizational skills
- Ability to translate complex financial data into actionable insights
- Ability to build trust with providers and operational leaders
- Ability to prioritize high-impact initiatives in fast-paced environments
Nice To Haves
- BA or BS Degree
- CPC, CPB, CRCR, or other revenue cycle certification preferred
- Experience working with physician practices, ambulatory surgery centers, or musculoskeletal service lines preferred
Responsibilities
- Serve as the primary RCM strategic partner for assigned markets and physician groups
- Monitor and analyze key performance indicators including charge lag, denial rates, AR aging, AR >90 days, and net collection rate
- Lead monthly and quarterly revenue cycle reviews with market leadership and providers
- Identify root causes of revenue leakage and assist in developing corrective action plans
- Drive reduction in controllable denials through payer-specific analysis and operational collaboration
- Partner with cross-functionally with key revenue cycle stakeholders to proactively identify and resolve issues impacting revenue integrity and reimbursement performance.
- Support new market onboarding and RCM ASA integrations
- Escalate systemic issues to executive leadership with proposed solutions
- Participate in cross-functional revenue cycle initiatives and performance improvement projects
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
