RCM Ops and Quality Manager - Claims Submission

February 26

Apply Now

Receive Emails with Similar Jobs

NextGen Healthcare

WebsiteLinkedInAll Job Openings

NextGen Healthcare is a company that provides integrated health IT solutions to ambulatory practices. Their services include electronic health records (EHR), practice management, interoperability, patient engagement, and telehealth solutions. They aim to enhance the patient and provider experience through innovative technologies such as AI-driven workflows and mobile solutions. NextGen Healthcare also offers tailored solutions for various specialties and focuses on improving clinical and financial outcomes for their clients. They support practices of all sizes, from small offices to large enterprises, and emphasize the importance of interoperability and data exchange to enhance healthcare delivery.

EHR • financial • and HIE solutions for hospitals • health systems • physician practices

1001 - 5000 employees

Founded 1998

⚕️ Healthcare Insurance

☁️ SaaS

📡 Telecommunications

💰 Venture Round on 2015-02

📋 Description

• The RCM Operations & Quality Manager I manages and provides oversight to RCM global partner teams • The incumbent ensures that daily, weekly, and monthly tasks are accomplished effectively • They assist with the onboarding and training of new employees • Actively lead performance-based initiatives for clients • Monitor the quality of work performed by Specialists and Level 1 managers • Author standard operating procedures (SOPs) • Serve as a key RCM subject matter expert within RCM Managed Services and other departments • Provide advanced guidance to employees and Global Partners • Oversee the onboarding and training process • Act as a primary liaison between global partner/vendor team members and management • Ensure departmental procedures are documented and SOPs remain accurate • Handle and resolve escalations that Specialist/Global teams cannot address • Lead discussions with clients regarding current performance and trends • Conduct regular performance meetings with departmental employees and global partner vendors • Collaborate with management teams to identify and quantify potential issues • Ensure service level agreements (SLAs) and productivity requirements are met • Foster and maintain positive working relationships with internal and external customers • Ensure adherence to best practice setups, policies, and procedures • Proactively identify and avoid compliance issues • Ensure continuity of RCM department services when global partners are not available • Perform other duties that support the overall objective of the position

🎯 Requirements

• Bachelor’s Degree in Finance, Accounting, or Healthcare related discipline • 5+ years of experience in revenue cycle management • 3+ years of vendor/partner management and/or client management • Knowledge of practice management systems • Knowledge of customer service best practices • Knowledge of Revenue Cycle Management principles • Knowledge of laws, regulations, policies, and procedures governing the functional area • Knowledge of Microsoft Office Suite • Skill in effective communication with cross-functional team members • Skill in providing customer service to internal and external clients • Skill in problem solving, analytical, and critical thinking • Skill in working as a member of a team • Skill in communicating clearly, concisely, and effectively • Ability to build strong internal and external relationships • Ability to work independently with limited direction • Ability to maintain confidential information • Ability to work in a fast-paced environment • Ability to stay organized, prioritize workload, multi-task, and meet deadlines