Revenue Cycle Management Manager

Summary

Join Integra Partners as a results-oriented RCM Manager to lead a large claims production team. You will manage claims pricing, revenue cycle management, and develop leadership within the team. Responsibilities include process improvement, personnel management, and collaboration with cross-functional leaders. The ideal candidate possesses 5+ years of relevant experience in healthcare, including team leadership and claims resolution. Integra offers competitive compensation, benefits, and remote work opportunities. This role requires a Bachelor's degree or equivalent experience and strong analytical and communication skills. The position offers significant growth potential within a dynamic healthcare organization.

Requirements

• Bachelor’s degree or equivalent experience
• Experience working within Revenue Cycle Management
• 5+ Years of relevant experience in a fast paced, healthcare environment
• 5+ Years of leading teams of 5+ people to outstanding results
• 5+ Years Claims and AR Resolution Experience
• Outstanding interpersonal and communication skills
• Pro-active, results oriented, adaptable individual striving for everyday excellence
• Able to manage multiple, complex projects
• Strong analytical and reasoning skills
• Ability to work effectively with internal and external clients to increase satisfaction with company and department’s performance
• Curious, adaptive, focused, able to change and grow
• Leader comfortable hiring and developing high performing teams

Responsibilities

• Responsible for real-time management of department task and production
• Achieve First in First out with claims inventory and work towards 24-48 hr. turnaround on incoming claims
• Provide leadership to RCM supervisors, inventory and RCM agents
• Evaluate the department tasks to determine appropriate team structure and allocation of work for greatest efficiency
• Develop a comprehensive DME claim program with respect to Medicaid, Medicare and commercial billing/payment guidelines
• Partner with the training team to develop a curriculum and new hire on-boarding process to ensure the team has the right tools and knowledge to perform their tasks
• Develop goals and objectives for the department and rollout strategy to obtain the established business outcome
• Oversee monitoring and tracking of key performance metrics against established goals and coach/ guide the management team to achieve success, including but not limited to meeting timely filing requirements
• Continually look for opportunities to automate routine Revenue Cycle Management tasks through technology
• Serve as the subject-matter expert on regulatory, compliance, and legal requirements associated with medical billing and CMS
• Ensure clear metrics are defined, measured, and reported for tracking and trending Claims outcomes

Preferred Qualifications

DME-focused claims experience

Benefits

• Competitive compensation and annual bonus program
• 401(k) retirement program with company match
• Company-paid life insurance
• Company-paid short term disability coverage (location restrictions may apply)
• Medical, Vision, and Dental benefits
• Paid Time Off (PTO)
• Paid Parental Leave
• Sick Time
• Paid company holidays and floating holidays
• Quarterly company-sponsored events
• Health and wellness programs
• Career development opportunities
• Remote Opportunities