Sr RCM Specialist

ATI Physical Therapy•Downers Grove, IL

23h•Remote

About The Position

As the Senior RCM Specialist, you will partner with business leaders to improve and deliver positive change throughout all revenue cycle processes. This role will collaborate with the RCM supervisor, RCM Sr. Mgr./Mgr. to review the quality, efficiency, and productivity of our vendor partners. The Sr. RCM Specialist will work to improve the accuracy and effectiveness of revenue cycle processes through leading account audits, data analysis, training sessions, and team/vendor meetings, to name a few. This position will also be responsible for maintaining ATI’s policies and procedures as it relates to their focused area within the revenue cycle. This role will be the subject matter expert in their focused area of the revenue cycle and collaborate with other process leaders to resolve process breakdowns.

Requirements

High School Diploma, GED, or suitable equivalent
5 years of healthcare experience in clinical or office setting
3 years of healthcare revenue cycle experience
Offshore revenue cycle vendor experience
Excellent in Microsoft Office applications, capable of creating detailed analyses using pivot tables and other formulas/features within Excel.
Strong attention to detail to ensure the accuracy of data with the patient account.
Ability to prioritize and manage multiple tasks simultaneously.
Excellent interpersonal and communication skills, both oral and written
Must have excellent organizational skills and ability to prioritize and coordinate workload with high degree of proficiency and accuracy.

Nice To Haves

Associate / bachelor’s degree
5+ years of healthcare revenue cycle experience
Experience in service line of RCM
Data analyst experience
Physical Therapy RCM experience
Lead Claim, Denial, and/or process auditing teams

Responsibilities

Assist in the summarizing of audit data to identify process improvement opportunities and creating Service Level Agreement (SLA) quality reporting.
Provide ongoing monitoring of standards by conducting audits of all revenue cycle processes, vendors, and technology.
Performs timely reviews of patient accounts and remittances for denials to determine root cause and appropriateness of actions, and leads corrective action plans.
Provide subject matter guidance to ATI team members and offshore vendor partner teams.
Prepares, schedules, and leads collaboration / training sessions for onshore and offshore team members in conjunction with the RCM Supervisor to address quality concerns or optimize revenue cycle processes.
Monitor KPI & SLA metrics to ensure department is achieving monthly/quarterly/yearly targets.
Works with RCM Supervisor to develop performance improvement plans for offshore vendor partners to optimize projects.
Develops detailed and summary reports on a regular basis, which are specific to revenue cycle process and key indicators.
Responsible for maintaining all policies and standard operating procedures to improve efficiencies, leading to updates to the audit tools.
Stay current with and ensure adherence to payor guidelines, policies, and regulations, continuously monitoring changes and updates to maintain compliance and optimize revenue cycle management.
Responsible for communicating with payors.