Manager, Complex Issue Resolution - Revenue Cycle Management

6 days ago

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ClinicMind Platform for Full-Cycle Patient Care

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ClinicMind Platform for Full-Cycle Patient Care is a comprehensive healthcare technology provider offering a range of software solutions and services for medical practices. Their offerings include ONC-certified EHR systems, chiropractic software, practice management solutions, billing platforms, credentialing services, and patient engagement tools like patient portals and telehealth options. ClinicMind focuses on streamlining provider documentation, simplifying billing and payment processes, and enhancing the patient experience, helping healthcare practice owners optimize operations, increase revenue, and improve patient satisfaction. The platform provides customizable automation and support to meet the unique needs of single or multi-site practices, ensuring efficient and effective full-cycle patient care management.

EHR • Credentialing • Billing • Practice Management • Patient Portal

201 - 500 employees

⚕️ Healthcare Insurance

☁️ SaaS

📋 Description

• Lead and mentor a team of specialists focused on resolving complex RCM issues escalated from standard teams. • Allocate resources efficiently to ensure timely and effective resolution of escalated cases. • Conduct regular performance evaluations and provide ongoing training to enhance team capabilities. • Oversee the investigation and resolution of complex billing, coding, and reimbursement issues. • Collaborate with cross-functional teams to identify root causes and implement corrective actions. • Serve as the primary point of contact for clients regarding escalated RCM concerns, ensuring clear communication and resolution. • Analyze patterns in escalated issues to identify systemic problems and areas for process enhancement. • Develop and update standard operating procedures (SOPs) to prevent recurrence of complex issues. • Ensure all resolutions comply with industry regulations and organizational policies. • Work closely with standard RCM teams to provide guidance on complex cases and prevent future escalations. • Communicate effectively with clients to manage expectations and provide status updates on issue resolution. • Prepare and present reports to senior management on the status of escalated issues and team performance.

🎯 Requirements

• Bachelor’s degree in Healthcare Administration, Business, or a related field; • Master’s degree preferred. • Minimum of 5 years of experience in revenue cycle management, with at least 2 years in a supervisory role handling complex issues. • In-depth knowledge of healthcare billing, coding, and reimbursement processes. • Strong analytical and problem-solving skills with a track record of implementing effective solutions. • Excellent communication and interpersonal skills, with the ability to manage client relationships effectively. • Proficiency in RCM software and data analysis tools. • Demonstrated ability to lead and develop high-performing teams.