RCM Process Specialist
4 weeks ago
The Opportunity
Huron is a leading consulting firm that helps healthcare organizations drive growth, enhance performance, and sustain leadership in their markets. We empower our clients to build innovation capabilities, accelerate key growth initiatives, and create sustainable growth, optimizing internal processes and delivering better consumer outcomes.
Position Summary
As a RCM QA/Process Specialist, you will be responsible for team handling, work allocation, client interactions, and generating, distributing RCM metrics reports to the leadership team. You will also be responsible for periodically reviewing team performance, recommending performance improvement plans, and identifying trends and patterns from generated reports to initiate action plans to resolve AR issues.
Key Responsibilities
- Experience in handling a team/group of 15 to 20 FTEs
- Thorough understanding of RCM processes like Billing, Cash Posting, Credit Balance, Accounts Receivables, Denial Management & Correspondence review
- Very good understanding of RCM metrics like Days in AR, Ageing above 90 days, Collections, and bad debt
- Hands-on in preparing daily, weekly, and monthly operational metrics reports from the Practice Management/Billing System and workflow tool using MS-Excel
- Responsible for work allocation/distribution to the team and monitor the team work
- Create and maintain daily operational scorecards to track and report KPIs; assist in volume forecast and capacity planning as required
- Generate and distribute management reports in accurate and timely manner
- Perform data analysis for generating reports on a periodic basis, including ad-hocs
Qualifications
• 5+ years of industry experience
• 3+ years of experience in relevant billing functions is a must
• Proficient in MS Excel and creating Excel macros
• Strong ability to analyze raw data, draw conclusions, and develop actionable recommendations
• Ability to handle multiple tasks of reporting simultaneously
• Ability to adapt quickly to new and changing technical environments as well as strong analytical, problem-solving, and quantitative abilities
Education/Certifications
Graduate in any discipline
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