Revenue Cycle Manager (RCM) - Denials, System, & Quality jobs in United States
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SENTA ENT and Allergy Physicians · 1 month ago

Revenue Cycle Manager (RCM) - Denials, System, & Quality

positionAtlanta, GA
timeFull-time
remoteOnsite
senioritySenior Level
money$80K/yr - $120K/yr
date5+ years exp

SENTA Partners is a leading Management Services Organization specializing in providing comprehensive support to ENT and Allergy private practices. The Revenue Cycle Manager (RCM) is responsible for leading a defined functional area within the RCM department, driving performance against operational metrics, and ensuring compliance with payer and regulatory requirements.

Health CareMedical

Responsibilities

Partner with finance, compliance, clinical leaders, and operational teams to align initiatives
Serve as a trusted advisor regarding denial trends, system performance, and quality outcomes
Develop and implement strategies to reduce payer denials and improve first-pass acceptance rates
Analyze trends, identify root causes, and implement corrective actions
Partner with clinical and operational teams to resolve systemic issues
Lead monthly Denials Task Force meetings with practices and leadership
Maintain denial dashboards and provide actionable reporting
Manage and optimize revenue cycle systems, including EHR, billing platforms, clearinghouse connections, EDI/ERA, and other integrations
Collaborate with IT and vendors on system upgrades, workflow enhancements, and issue resolution
Serve as system SME for RCM, providing training and guidance to staff and leaders
Maintain centralized logs of system edits, scrubs, and practice-specific configurations
Ensure system administration redundancy to support continuity
Establish quality standards for revenue cycle workflows and performance
Conduct audits, review accuracy metrics, and implement improvements
Maintain dashboards and KPIs tracking timeliness, accuracy, and productivity
Lead continuous improvement initiatives to reduce errors and enhance operational efficiency

Qualification

Healthcare revenue cycle managementDenials managementEHR systems proficiencyMedical billing softwareSystem integrationAnalytical skillsCPC certificationCRCR certificationLeadership skillsProblem-solving skills

Required

Bachelor's degree in Finance, Business Administration, Healthcare Administration, or related field required
Minimum 5 years in healthcare revenue cycle management experience required
At least 2 years in a managerial or supervisory role required
Strong knowledge of medical billing software, reimbursement processes, and payer requirements
Experience with system integration, configuration, and optimization
Advanced analytical and problem-solving skills

Preferred

3 years in denials, analytics, or systems optimization
Proficiency with EHR systems and RCM technologies (ModMed and eCW)
CPC, CRCR, or related certification

Benefits

Comprehensive Health Benefits (Medical, Dental, and Vision)
Health Savings Account (HSA)
Flexible Spending Account (FSA)
Short & Long Term Disability
Holidays & Paid Time Off (PTO)
Employee Assistance Program (EAP)
Retirement Contribution Program - 401(K) Match

Company

SENTA ENT and Allergy Physicians

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Southern Ear, Nose, Throat and Allergy Physicians (SENTA) is a leading community of the Southeast’s finest ENT and Allergy/Immunology specialists.
dateFounded in 2019
location
Sandy Spring, Maryland, USA
people-size501-1000 employees
web-link
https://sentapartners.com/

Funding

Current Stage
Late Stage

Leadership Team

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Adam Low
Chief Executive Officer
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Len Schiavone
Chief Operating Officer
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