Company:Gastro Health
Location:United States, EST, PST
Languages:English
Seniority level:Manager, 5+ years
Experience:5+ years
Skills:LeadershipProject ManagementPeople ManagementOperations ManagementMicrosoft ExcelMentoringComplianceTraining
- 5+ years of managerial experience in healthcare revenue management cycle roles with experience in all phases of the revenue cycle management.
- Experience with a large, growing healthcare organization support 100 or more providers.
- Experience with a large Practice Management (PM) System, eCW (E Clinical Works) is a plus but not required.
- Prior experience leading a remote team across all states is highly preferred.
- Bachelor’s Degree highly preferred but experience can be substituted for education.
- Certified coder preferred, but not required.
- Hands-on management of all billing programs, systems, processes, and third-party vendors.
- Prepares weekly and monthly RCM reporting metrics.
- Implement denial management reduction strategies.
- Maintain understanding and communicate payor policy changes.
- Meet with payor representatives for remediation of denial or underpayment projects.
- Formulate and execute policies and procedures for billing workflow.
- Daily reviews of claim/denial volumes, daily billing, rejections, clean claim rates, and workflow.
- Develops quality control program.
- Ensure productivity goals are monitored and remediate barriers.
- Counsels and disciplines employees.
- Develop and mentor team leads and AR team members.
- Maintain compliance with directives from regulatory agencies and third parties.
- Lead team meetings focused on collaboration and process improvement.
- Support, perform, and evaluate all functional responsibilities of the Sr. Team Lead role.