Standard Operating Procedures Specialist - Healthcare RCM
About The Position
This role focuses on creating and maintaining Standard Operating Procedures (SOPs) for the healthcare Revenue Cycle Management (RCM) back-end processes, specifically AR Follow Up & Denials and Billing. The specialist will collaborate with operations and quality teams to ensure SOPs meet business needs and identify areas for improvement. Responsibilities include coordinating meetings, tracking action items, providing process clarification, maintaining project documentation, and managing SharePoint sites for document distribution. Quality assessments will also be conducted as needed.
Requirements
- A high school diploma and 8+ years of prior relevant experience (Relevant experience may be substituted for formal education)
- Strong knowledge and hands-on experience in back end Revenue Cycle Management processes, including billing, denial management, and AR follow-up.
- Excellent communication, presentation, and facilitation skills.
- Ability to manage multiple stake holders and deliver impactful results.
- Strong analytical and problem-solving abilities.
- Ability to design SOP and training documentation and complete deliverables within strict deadlines.
- Proficiency in Microsoft Word, PowerPoint, Excel, Visio, Microsoft Teams, SharePoint, OneDrive, and Outlook
- Proficiency in at least one Patient Accounting software platform such as EPIC, MEDITECH, Cerner
Nice To Haves
- Prior experience as an RCM workflow content writer and/or Trainer.
- Experience in curriculum creation or process documentation.
- Experience with AI tools such as ChatGPT, MS Copilot (Creating AI agents, process improvement automation).
- Familiarity with Power BI.
Responsibilities
- Create detailed step-by-step documentation for back end (AR Follow Up & Denials, Billing) Revenue Cycle Management (RCM) processes.
- Collaborate with operations and quality teams to identify needs, skill gaps, and coaching opportunities, ensuring SOP content aligns with business requirements.
- Coordinate meetings, organize information, and track follow-up items with moderate supervision.
- Provide ongoing support for process clarifications and performance enhancement.
- Maintain project planning materials, accurate records, conduct version control, review performance reports, and ensure completion of SOP deliverables within project timelines.
- Manage Sharepoint sites for document distribution.
- Conduct Quality Assessments as needed.
Benefits
- Medical, Rx, Dental & Vision Insurance
- Personal and Family Sick Time & Company Paid Holidays
- Parental Leave
- 401(k) Retirement Plan
- Basic Life & Supplemental Life
- Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
- Short-Term & Long-Term Disability
- Tuition Reimbursement, Personal Development & Learning Opportunities
- Skills Development & Certifications
- Employee Referral Program
- Corporate Sponsored Events & Community Outreach
- Emergency Back-Up Childcare Program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
