RCM LEAD

Key Responsibilities Manage and oversee daily revenue cycle operations, including: Medical billing Claims submission Payment posting Accounts Receivable (AR) follow-up Denial management Insurance verification Ensure timely and accurate claims submission Analyze denied/rejected claims and implement corrective actions Track and monitor KPIs such as: Clean claim rate Days in AR Denial rates Collection rates Ensure compliance with HIPAA, payer guidelines, and healthcare regulations Collaborate with providers, operations, and finance teams Train, mentor, and support RCM staff Conduct audits to identify process gaps and revenue leakage Drive process improvements to maximize collections Communicate with insurance companies for claims resolution Prepare reports and present performance updates to leadership Nice-to-Have Skills High attention to detail and accuracy Ability to manage multiple priorities Strong leadership and coaching skills Process improvement mindset Excellent customer service and stakeholder management Tools: eClinicalWorks #J-18808-Ljbffr Virtual Teammate