
Operations Manager
1 day ago
RCM Oversight
Lead and manage the full revenue cycle process from patient registration to final payment.
- Monitor KPIs such as Days in AR, denial rates, and collection efficiency.
- Collaborate with finance and clinical teams to streamline RCM workflows.
Billing Management
Supervise billing operations to ensure accurate and timely claim submissions.
- Implement billing policies and procedures across departments.
- Ensure compliance with payer contracts and regulatory requirements.
Denials & Appeals
Analyze denial trends and develop strategies to reduce preventable denials.
- Oversee the appeals process and ensure timely resolution of denied claims.
- Train staff on best practices for denial prevention and documentation.
Team Leadership
Manage and mentor billing and RCM staff, including performance reviews and training.
- Allocate resources effectively to meet operational goals.
- Foster a culture of accountability, accuracy, and continuous improvement.
Process Improvement
Identify inefficiencies and implement process enhancements.
- Leverage technology and automation to improve billing and collections.
- Participate in system integrations and change management initiatives.
Skills Requirement
- 5+ years of experience in RCM, billing, and denial management.
- Strong leadership and team management skills.
- Proficiency in billing software and EHR systems.
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