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Manager, RCM Shared Services
11 months ago
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The Manager, RCM Shared Services is responsible for the oversight of the day-to-day operations for designated shared service practice pod(s). Duties include oversight of RCM functions including personnel oversight billing guidance, and/or AR management.
- 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.
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.