Harris Computer · 1 month ago
RCM Manager
North Carolina, United States
Full-time
Onsite
Senior Level
5+ years expBenchmark Solutions, a division of Harris Computer, is seeking an RCM Manager to oversee the daily operations of the revenue cycle management department. The role focuses on claims processing, denial management, collections, and payment posting while ensuring efficient workflows and maximizing revenue capture.
Computer Software
Responsibilities
Lead end-to-end revenue cycle functions, including claims submission, charge capture, billing, payment posting, denial management, and collections, ensuring accuracy and compliance with industry regulations
Establish and maintain efficient workflows for each step of the revenue cycle, prioritizing high-quality service and prompt resolution of claims to minimize AR aging
Monitor revenue cycle metrics and KPIs, such as clean claim rate, denial rate, and AR days, ensuring optimal financial performance and adherence to client service standards
Oversee the claims denial management process, developing strategies to prevent denials, reduce denial rates, and improve overturn rates on appealed claims
Collaborate with coding, billing, and follow-up teams to identify patterns in denials and implement corrective actions to reduce recurring issues
Ensure timely and accurate claims resolution, working with insurance companies and clients as necessary to address and resolve complex claims
Lead, coach, and develop the RCM team, providing training and mentorship to improve team performance and ensure alignment with department goals
Set team goals and objectives aligned with organizational targets, regularly reviewing team progress and providing constructive feedback
Foster a collaborative team culture focused on client satisfaction, efficiency, and professional growth, with opportunities for skill enhancement in RCM processes and client relationship management
Serve as the primary point of contact for clients regarding revenue cycle performance, addressing client inquiries, providing status updates, and delivering data-driven insights
Conduct regular client meetings to review RCM performance, address concerns, and provide recommendations for improving collections, payment posting, and AR management
Collaborate with other departments, such as coding and compliance, to ensure cohesive and effective revenue cycle operations
Continuously analyze and optimize revenue cycle workflows to improve efficiency, reduce AR aging, and increase revenue capture, utilizing data and feedback from clients and staff
Ensure compliance with federal, state, and industry regulations governing claims processing, billing, and collections, maintaining a high standard of data security and patient confidentiality
Stay informed about industry trends and best practices, implementing relevant changes to enhance the organization’s RCM services
Qualification
Required
5+ years of experience in revenue cycle management, with at least 2 years in a management or supervisory role
Extensive knowledge of claims processing, denial management, and AR follow-up
Excellent interpersonal and communication skills
Ability to build and maintain strong client relationships
Company
Harris Computer
Harris provides mission-critical software solutions for the Public Sector, Healthcare, Utilities, and Private Sector verticals throughout North America, Europe, Asia, and Australia.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Scott Thomas
Group Leader/CEO - Novum Group, Harris Healthcare (Constellation Software TSX:CSU)
Diane Gibson, SHRM-CP
Human Resources Business Partner
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