Manager, RCM Shared Services

Key Responsibilities

• Scope of responsibilities could include insurance eligibility, drug and lab authorization, financial assistance, charge entry, cash applications, collections and accounts receivable management leading team and filling gaps as needed.
• Resolves team/supervisor revenue cycle issues and questions
• Responsible for quality work, meeting KPIs, and adherence to the Practices Standard Operating Procedures
• Guides individuals and teams toward priorities; coordinates resources to meet objectives.
• Champions new initiatives: acts as a catalyst of change and stimulates others to change; paves the way for needed changes; manages implementation effectively.
• Monitor key KPI metrics. Perform gap analysis and report to leadership noting outliers.
• Prepare payroll records and maintain employee attendance/audits for HR payroll processing.
• Manage employee activity such as hiring, job performance, evaluations, and disciplinary actions with appropriate approvals as required.

Qualification & Requirements

Essential Competencies:

• Excellent written and verbal communication skills with the ability to effectively communicate and establish collaborative relationships with physicians, patients, clinical and administrative staff, and the public.
• Excellent customer service skills with the ability to process patient and public inquiries, including complaints, and respond with poise and efficiency.
• Knowledge of clinic office procedures, prior authorizations, and medical coding.
• In depth understanding of Managed Care Organizations and payer guidelines.
• Basic understanding of oncology practice management is required for this position, specifically in-depth understanding of Oncology billing is required.
• Strong organizational skills and attention to detail.
• High level of discretion to work with confidential information.
• Proficient in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook), database and patient scheduling and other medical information systems.

Education & Experience:

• Minimum of five years’ experience in healthcare setting; Oncology/Hematology preferred.
• Minimum of three years management experience in healthcare field.
• Bachelor’s degree or equivalent healthcare-related experience required.
• Experience with Centricity, Unlimited Systems a plus.

Benefits

• Medical, Dental, Vision
• 401(k)
• Life insurance
• Flexible Paid Time Off
• Critical Illness Coverage
• Tuition Reimbursement
• Accidental Injury Coverage
• Other Perks and Benefits…