
Master RCM Strategist
3 days ago
Job Overview
The Revenue Cycle Manager Leader will oversee end-to-end revenue cycle performance for U.S. healthcare provider clients.
This leader will be responsible for driving strategic leadership, building robust processes, maintaining payer compliance, and mentoring teams to deliver world-class results.
Key Responsibilities:- Strategic Leadership:
- Define and execute the vision for revenue cycle operations in alignment with client expectations.
- Develop policies, SOPs, and workflows that optimize revenue cycle performance across specialties (Orthopedics, Physical Therapy, Dermatology, Behavioral Health, Rheumatology, etc.).
- Partner with leadership to ensure client needs, compliance standards, and performance goals are consistently met.
- Operational Management:
- Oversee daily operations of the billing team, including charge entry, payment posting, AR calling, denial management, credentialing, and reporting.
- Implement audit and QA frameworks to monitor accuracy, timeliness, and compliance.
- Standardize reporting cadence: daily, weekly, and monthly dashboards for AR, denials, collections, and payer trends.
- Ensure smooth onboarding of new clients and practices into billing workflows.
- People Leadership:
- Manage and mentor offshore managers, team leads, and billers to ensure accountability and career growth.
- Build a performance-driven culture with clear KPIs, evaluation frameworks, and feedback mechanisms.
- Drive recruitment, training, and upskilling initiatives to maintain high-quality output.
- Client & Stakeholder Engagement:
- Act as a bridge between leadership and offshore teams to ensure clear communication and alignment.
- Participate in client calls, providing updates on revenue performance, denial trends, and improvement initiatives.
- Proactively identify client risks and recommend process improvements.
- Compliance & Process Improvement:
- Ensure adherence to U.S. healthcare billing regulations, HIPAA compliance, and payer-specific requirements.
- Monitor payer changes, industry trends, and regulatory updates to update internal SOPs.
- Leverage technology and automation tools to drive efficiency.
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