SENTA ENT and Allergy Physicians · 2 months ago
Revenue Cycle Manager (RCM) - Insurance & A/R
Atlanta, GA
Full-time
Onsite
Mid, Senior Level
$58K/yr - $83K/yr
4+ years expSENTA Partners is a leading Management Services Organization specializing in providing support to ENT and Allergy private practices. The Revenue Cycle Manager (RCM) is responsible for leading the RCM department, ensuring compliance with regulations, and driving performance metrics while collaborating with various stakeholders.
Health CareMedical
Responsibilities
Manage performance, workflow planning, staffing, training, and disciplinary actions
Develop and maintain strong working relationships with payers and clients; serve as the escalation point for complex claim issues
Oversee follow-up for unpaid or denied insurance claims
Ensure compliance with payer guidelines and timely resolution of outstanding A/R
Implement strategies to reduce aged accounts and improve collection efficiency
Identify reimbursement opportunities and address payer or patient outliers across markets
Analyze denial trends and implement corrective actions
Collaborate with billing and coding teams to prevent recurring issues
Create and maintain SOPs for follow-up activities
Maximize use of available technologies to improve workflow and increase collections
Prepare regular reports on claim status, denial trends, recovery performance, and other KPIs
Monitor performance measures including days in A/R, denial turnaround time, and collection rates
Ensure compliance with HIPAA and all regulatory requirements
Monitor payer policy changes and communicate updates to the team
Qualification
Required
High school diploma or GED required
Minimum 4 years in insurance follow-up, A/R management, or medical billing experience required
Strong understanding of payer processes, denial resolution, and collections strategy
Demonstrated ability to interpret and improve A/R KPIs
Strong communication, negotiation, and problem-solving abilities
Proficiency with billing systems, claims clearinghouses, and reporting tools
Preferred
Associate's or Bachelor's degree preferred
Prior supervisory or lead experience preferred
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
Southern Ear, Nose, Throat and Allergy Physicians (SENTA) is a leading community of the Southeast’s finest ENT and Allergy/Immunology specialists.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Adam Low
Chief Executive Officer
Len Schiavone
Chief Operating Officer
Recent News
Becker's ASC
2023-12-24
2023-12-24
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