Revenue Cycle Management Senior Project Manager - Texas Health Care PLLC

The Senior Project Manager oversees all operations of insurance/patient collection functions, including:

• Supervision and overall responsibility for departmental accounts receivable functions in the collection of monies.
• Leverages RCM vendor relationships to ensure claims are handled timely and with high quality.
• Proficient with data analysis and Excel functionality. Can construct and manage data and formulas for trending and communicating of exceptional management.
• Perform super user responsibilities in RCM for the platform including file maintenance or table space changes or analysis.
• Develop and research reports from various data sources for management including Daily Aging Report over 180 days.
• Monitor claims processing against production standards; evaluate workflow and reporting systems to ensure claims are handled on a timely and accurate basis by running monthly A/R reports.
• Develop feedback to emails and tasks daily.
• Liaison between patient and physician offices in resolving patient account problems and follow-up on results.
• Provide leadership and motivation by establishing clear expectations, and communicating specific performance feedback with vendor relationship(s).
• Timely and accurate completion of special projects as assigned by the Director of RCM and oversees any special requests made by staff to ensure its completion.
• Oversees development, prioritization and implementation of the development, documentation, and maintenance of system applications, along with updates and changes on assigned payers.

Requirements:

• High School diploma or general equivalency
• Knowledge of medical terminology and procedures,
• ICD-10 and CPT coding
• HCPS codes, insurance processes and computer literacy with excellent Excel skills;
• Degree or 3 years of previous supervisory experience in a physician's office and/or medical billing office
• Ability and willingness to work flexible hours to meet staffing needs.

Job Type: Full-time