Manager Of Rcm Operations
4 weeks ago
About Our Company At Infinx we re a fast-growing company focused on delivering innovative technology solutions to meet our clients needs We partner with healthcare providers to leverage automation and intelligence overcoming revenue cycle challenges and improving reimbursements for patient care Our clients include physician groups hospitals pharmacies and dental groups We re looking for experienced associates and partners with expertise in areas that align with our clients needs We value individuals who are passionate about helping others solving challenges and improving patient care while maximizing revenue Diversity and inclusivity are central to our values fostering a workplace where everyone feels valued and heard A 2025 Great Place to Work In 2025 Infinx was certified as a Great Place to Work in both the U S and India underscoring our commitment to fostering a high-trust high-performance workplace culture This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U S Location Remote Summary Description We are seeking a highly driven and detail-oriented Manager - RCM Reimbursement Operations to lead and optimize key post-payment RCM functions including payment posting credit balance resolution and remittance reconciliation across high-volume radiology and multi-specialty portfolios This role will act as a critical conduit between client stakeholders and offshore operations ensuring delivery alignment operational transparency and consistent execution against KPIs The ideal candidate will bring deep functional expertise in transactional RCM workflows and experience managing global delivery teams This individual will represent the function during weekly and monthly operational reviews and will play a prominent role in Quarterly Business Reviews with clients to report on metrics highlight trends and drive service enhancements Responsibilities Act as the primary client-facing escalation point for reimbursement operations ensuring timely resolution of posting and credit-related issues Lead end-to-end ownership of payment posting operations ensuring compliance with client SOPs payer-specific rules and reconciliation standards Manage the credit balance and refund workflow ensuring proactive resolution of overpayments unapplied cash and audit risks Partner with offshore operations teams to drive efficiency accuracy and timeliness across daily production deliverables Lead the delivery of weekly monthly and quarterly client reviews preparing and presenting governance reports performance trends and action plans Collaborate with internal teams System Admins QA IT Process Excellence to troubleshoot issues improve process adherence and streamline technology usage Track and report on SLAs productivity benchmarks error rates and client escalations using standardized operational dashboards and governance frameworks Identify and escalate systemic issues and operational risks through a structured issue escalation matrix Ensure strict adherence to HIPAA compliance security protocols and data privacy regulations in all operational workflows Contribute to continuous improvement initiatives including automation of reconciliation tasks refund tracking and performance analytics Qualifications Bachelor s degree in Healthcare Administration Finance Business or a related field 5-7 years of progressive experience in revenue cycle management with a strong emphasis on payment posting remittance processing and credit balances Proven track record of leading offshore teams and cross-functional collaboration in a matrixed delivery model Familiarity with Imagine Billing or equivalent RCM systems Athena EPIC eClinicalWorks etc preferred Strong understanding of 835 837 file formats electronic remittance advice ERA and reconciliation methodologies Advanced proficiency in Microsoft Excel including pivot tables and dashboard creation working knowledge of reporting tools is a plus Exceptional communication and client management skills capable of navigating executive conversations and service escalations with confidence Experience in governance frameworks and ability to present data insights to client stakeholders and leadership teams Preferred Skills Exposure to Radiology specialty RCM workflows and payer environments Medicare Medicaid Commercial WC etc Experience supporting or leading governance models in a BPO or outsourcing environment Prior involvement in Imagine system troubleshooting reconciliation or system administration tasks Strong organizational skills with an eye for continuous process improvement and client satisfaction Company Benefits and Perks Joining Infinx comes with an array of benefits flexible work hours when possible and a genuine sense of belonging to a dynamic and growing organization Access to a 401 k Retirement Savings Plan Comprehensive Medical Dental and Vision Coverage Paid Time Off Paid Holidays Additional benefits including Pet Care Coverage Employee Assistance Program EAP and discounted services Powered by JazzHR
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