RCM Manager

EyeCare Partners is the nations leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit www.eyecare-partners.com .

Title: RCM Manager

Job Summary

The RCM Manager is responsible for managing all activities within the revenue cycle management function for the region. RCM processes include but are not limited to insurance verification, authorizations, patient statements, charge entry/coding, submission of clean claims, collection of patient and insurance receivables, patient and operation communications, and credentialing.

Duties and Responsibilities

Implement and maintain an efficient workflow within the practices

Ensure that all employees within the department have received the proper level of training to complete their daily tasks

Cross training in other departments to ensure the highest level of accuracy and efficiency.

Assess new acquisition revenue cycle processes

Identify opportunities with RCM systems

Work with the Sr RCM Manager or Director in the development of streamlining processes and maintain accurate and timely billing processes

Create and implement metrics for productivity and quality

Ensure adherence to and compliance of payor, government and internal system regulatory policies

Monitor key revenue cycle management performance levels for each team member as well as each RCM team

Conduct routine monitoring and auditing activities to ensure staff production goals and quality of work is met

Conduct streamlined communication processes with practice RCM teams, Practice Administrators, RCM leadership, and various departments across the organization.

Carry out supervisory responsibilities in accordance with company policies

Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.

Performs other duties that may be necessary or in the best interest of the organization.

Education:

HS Diploma or GED

4 Year Bachelor's Degree - (Business, Health Management, Medical Billing, Finance or related field)

Experience Requirement

5+ years billing experience with proven leadership ability.

5+ years Revenue Cycle experience

2+ years Management experience in a corporate setting

Experience with accounts receivable and understanding of the revenue cycle for payors

Knowledge, Skills and Abilities Requirements

Detail oriented, professional attitude, reliable

Management and organizational skills to support the leadership of this function

Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations

Interpersonal skills to support customer service, functional, and teammate support needs

• Able to communicate effectively in English, both verbally and in writing

Ability for basic to intermediate problem solving, including mathematics

Intermediate computer operation

• Proficiency with Microsoft Excel, Word, PowerPoint and Outlook

Specialty knowledge of systems relating to job function

Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines

Supervisory Responsibilities:

Directly supervises team members in the RCM Department

Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.

Responsibilities include interviewing, hiring, and training employees, planning, assigning, and directing work, appraising performance, rewarding and disciplining employees, addressing complaints and resolving problems.

Location/Work Environment:

For remote team members, HIPAA compliant home office environment. Ability to work in a remote environment while performing required duties and remaining patient focused. Able to work varying shifts including early mornings/evenings to attend meetings and cross training or support other initiatives

Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

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EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Please do not contact the office directly only resumes submitted through this website will be considered.