RCM Manager

Oversees the operations and delivery of client services for a Revenue Cycle Services team for the purpose of maximizing accounts receivable collections for clients. Assists with strategic planning and provides supervision for team performance, productivity, and training needs. Serves as a process and system subject matter expert and ensures the efficiency and effectiveness of the billing and Accounts Receivable processes.

• Work Location - Pune (Work from Office)
• Shift timings - (7:30 PM - 4:30 AM) IST​

Responsibilities:

• Promptly responds to internal and external client inquiries, interactions, and requests for information.

• Acts as a primary point of contact for team members and provides guidance on work matters.

• Leads and manages the revenue cycle services team to meet departmental goals. Meets regularly with staff. Addresses performance gaps and recognizes excellence. Selects, develops, trains, and evaluates talent. Communicates team, department, business unit, and company news and performance to the team.

• Manages client relationships for assigned clients, ensuring satisfaction and addressing any issues promptly. Serves as a key point of contact for client issues, problems, system issues, and client service escalations.

• Serves as a subject matter expert for the RCS team and the client on vendor and proprietary software.

• Implements policies and procedures to ensure compliance with healthcare regulations and standards.

• Monitors and analyzes the performance of revenue cycle metrics to identify areas for improvement.

• Tracks clients’ AR productivity and health (charge, payments, collections, adjustments) on a daily, weekly and/or monthly basis to ensure the client and company expectations are met.

• Analyzes reports to identify issues with clients’ AR, including denials, unbilled items, credit issues, and holds. Determines corrective actions and communicates with clients and staff to resolve issues. Follows up to ensure actions are taken that achieve the results needed and/or determine other resolution needed.

• Delivers timely reports to RCS Management. Keeps RCS Management informed of issue resolution.

• Collaborates with other departments to streamline processes and enhance interdepartmental communication.

• Maintains up-to-date knowledge of industry changes and adapt strategies accordingly.

• Provides training and support to team members to ensure high-quality work.

• Prepares, compiles, and delivers reports on client and team performance.

Knowledge, Skills and Abilities

• Strong customer service skills for client satisfaction, health of client AR and management of RCM team members
• Extensive knowledge with email, search engines, Internet
• Ability to effectively use payer websites and Laserfiche; basic competence in use of Microsoft products.
• Preferred experience with MS Access and PowerPoint, Crystal reports
• Experience with various billing systems, such as NextGen, Pro, Allscripts, Epic and others.
• Accounting knowledge and skills preferred
• Knowledge of CPT, ICD10 and modifiers.
• May require knowledge and experience in specialties such as Psychiatry, Internal Medicine, Orthopedics, General Surgery
• Strong customer service skills for client satisfaction, health of client AR and management of RCS team members
• Strong communication skills, answering client inquiries, prompt return and follow up to all interactions, prompt response to requests for information, both internally and externally
• Ability to interact with clients and their patients, engage in proactive resolution of issues and timely response to questions and concerns.

Benefits

Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work. Through our generous benefits package with an emphasis on work/life balance, we give our employees the opportunity to allow their careers to flourish.

• Quarterly Company-Wide Recharge Days

• Peer-based incentive “Cheer” awards

• Tuition Reimbursement Program

To know more about the benefits and culture at Veradigm, please visit the links mentioned below: -

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Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.

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