RCM/Billing Working Managaer
MedHQ, LLC
Job Description
Job Description
MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. MedHQ serves Physician Practices, Ambulatory Surgery Centers (ASCs), Hospital and Healthcare Outpatient Facilities nationwide.
Responsibilities: Leadership and Staff Management:- Oversee day‑to‑day billing operations across multiple specialties, with emphasis on orthopedics and ASC billing.
- Manage and mentor billing staff; drive accountability, productivity, and professional development.
- Perform hands‑on billing functions as needed (coding review, claim corrections, denials, appeals).
- Develop, analyze, and present RCM performance reports, KPIs, and forecasting.
- Drive process improvement initiatives to reduce denials, accelerate cash flow, and improve accuracy.
- Ensure compliance with payer rules, state/federal regulations, and industry best practices.
- Maintain proficiency in multiple practice management and EHR systems.
- Conduct regular performance evaluations, provide feedback, and implement training programs to enhance staff skills and knowledge.
- Collaborate with leadership to implement and monitor KPIs to measure the efficiency and effectiveness of the revenue cycle processes.
- Regularly monitor and analyze performance data, identify areas for improvement, and implement corrective actions to optimize revenue cycle operations.
- Ensure timely and accurate submission of claims, payment posting, denial/appeal management, coding, and accounts receivable follow-up.
- Promote a culture of continuous pursuit of Awesome, encouraging teamwork, collaboration, and efficiency.
- Identify process bottlenecks and develop strategies to streamline operations and enhance revenue cycle performance.
- Drive the adoption of best practices, technologies, and teamwork to optimize revenue cycle processes.
- 3–5+ years in medical billing leadership (RCM Manager, Billing Supervisor, etc.).
- Proven experience with orthopedic and ASC billing, including high‑volume surgical claims.
- Strong staff leadership, team motivation, and performance management skills.
- Advanced reporting experience—comfort with dashboards, KPI analysis, and financial metrics.
- Analytical mindset with the ability to identify areas for improvement and drive process optimization.
- Willingness to “roll up your sleeves” and directly work accounts when needed.
- Certification in medical coding (e.g., CPC, CCS) is a plus.
- Proficiency with multiple systems, including:
- HST
- SIS (Surgical Information Systems)
- Epic
- AdvancedMD.
- Employer sponsored Major Medical
- Employer sponsored Dental
- Employer sponsored Vision
- Accidental Death and Disability insurance
- 401K
- Flexible spending account
- Generous paid time off
- True opportunity for advancement
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Vacancy posted 20 days ago
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