ESSENTIAL FUNCTIONS • Serve as the primary RCM strategic partner for assigned markets and physician groups • Monitor and analyze key performance indicators including charge lag, denial rates, AR aging, AR >90 days, and net collection rate • Lead monthly and quarterly revenue cycle reviews with market leadership and providers • Identify root causes of revenue leakage and assist in developing corrective action plans • Drive reduction in controllable denials through payer-specific analysis and operational collaboration • Partner with cross-functionally with key revenue cycle stakeholders to proactively identify and resolve issues impacting revenue integrity and reimbursement performance. • Support new market onboarding and RCM ASA integrations • Escalate systemic issues to executive leadership with proposed solutions • Participate in cross-functional revenue cycle initiatives and performance improvement projects EDUCATION Preferred: • BA or BS Degree • CPC, CPB, CRCR, or other revenue cycle certification preferred EXPERIENCE • Minimum 5–7 years of progressive experience in healthcare revenue cycle management • Experience working with physician practices, ambulatory surgery centers, or musculoskeletal service lines preferred • Demonstrated experience analyzing financial and operational performance metrics • Experience leading cross-functional initiatives and presenting to executive leadership REQUIREMENTS • Ability to travel periodically to assigned markets • Strong understanding of payer reimbursement methodologies including Medicare Advantage, Commercial, Medicaid, and Workers’ Compensation • Advanced proficiency in Microsoft Excel and reporting tools • Ability to manage multiple markets and priorities simultaneously KNOWLEDGE • Revenue cycle workflows from front-end through denial resolution and collections • CPT/HCPCS coding fundamentals and modifier usage • Accounts receivable management strategies • Regulatory compliance related to revenue cycle operations SKILLS • Advanced analytical and financial interpretation skills • Executive-level presentation and communication skills • Strong problem-solving and critical-thinking abilities • Data visualization and dashboard development • Cross-functional collaboration and relationship management • Project management and organizational skills ABILITIES • Ability to translate complex financial data into actionable insights • Ability to build trust with providers and operational leaders • Ability to prioritize high-impact initiatives in fast-paced environments ENVIRONMENTAL WORKING CONDITIONS • Remote work environment • Periodic travel to practice locations • Frequent computer use and virtual meeting participation
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