RCM Success Manager

Revenue Cycle Management Strategic Partner

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 57 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

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

HOPCo | Healthcare Outcomes Performance Company