Manager, RCM QA & Compliance

Summary

Join Help at Home, LLC, the nation’s leading provider of high-quality care and support solutions, as a QA & Compliance Manager in Revenue Cycle Management. This role involves overseeing a team, ensuring data accuracy and timeliness, and leading quality assurance functions. Responsibilities include managing audits, collaborating with the Ethics & Compliance team, implementing controls, coaching employees, and overseeing processes. The ideal candidate will possess strong analytical skills, experience in revenue cycle management, and proficiency in Microsoft Office applications. This position offers a competitive salary, benefits, and opportunities for career growth within a well-established company.

Requirements

• Bachelor’s degree and/or 5+ years of revenue cycle experience
• Advanced computer skills, including the use of Microsoft Office applications (e.g. Word, Excel). Ability to generate and utilize Microsoft Excel advanced formulas, pivot tables, power queries and advanced charting required
• Analytic and persistent; able to get to the root of problems
• Self-motivated; reliable; strong attention to details; maintains confidentiality; complies with all policies and procedures
• Demonstrates maturity and the ability to function as a team member, good communication skills
• Able to supervise staff and coach them to improve functioning and overall agency services
• Organized, assertive, mature, approachable and open-minded
• Willing to take initiative
• Identifies and progresses toward meeting personal and professional goals
• Able to deal with stress and conflict appropriately

Responsibilities

• Manage ongoing and implementation of new quality assurance processes
• Provide QA review of RCM policies and procedures as designated by leadership
• Lead yearly and ad hoc revenue cycle management audit requests; obtain and provide documentation to auditors per request
• Collaborate with corporate Ethics & Compliance team to research and resolve payer takeback requests
• Manage day to day issues and problems, escalating in a timely manner as necessary
• Demonstrate ability to work effectively at both granular and big-picture levels
• Think analytically with the ability to perform root cause analysis, prepare and implement action plans, and lead improvement initiatives
• Create SOP documentation and process maps, updating with any process changes
• Partner in the creation, refinement and management of new business lines and/or processes
• Help drive RCM projects to create efficiencies and streamline processes
• Actively contribute to and/or lead company-wide Revenue Cycle Managemen t related activates and visioning
• Performs other related duties as assigned

Preferred Qualifications

• Prior healthcare revenue cycle management/billing experience and knowledge of Home Care service technology, Long Term Care Insurance, Medicaid and Medicare is preferred
• Smartsheet experience is preferred

Benefits

• Weekly pay with salary ranges from $80,000- $90,000 annually
• Direct deposit
• Healthcare, dental, and vision insurance
• Paid time off and parental leave
• 401k
• Ongoing, in-depth training opportunities
• Meaningful work with clients who need your help
• Career growth and experience with an industry leader with 50+years of history in a high-demand field