Revenue Cycle Manager - HumCap, Inc.
Mansfield, TX
About the Job
HumCap's client, an ER practice based in DFW, is searching for an Revenue Cycle Manager to join their team. As the RCM Manager specializing in medical billing and claims mediation/arbitration, you will lead the oversight of these critical processes for the company, which operates 13 freestanding emergency rooms in the Dallas-Fort Worth area. This role is pivotal due to recent changes brought about by the "No Surprises Act," necessitating expertise in managing the increased complexity and oversight associated with medical billing and claims mediation/arbitration. This role is onsite in Mansfield, TX.
Responsibilities:
- Oversee the medical billing and claims mediation/arbitration process.
- Ensure compliance with federal regulations and processes, particularly related to the "No Surprises Act."
- Coordinate with billing company and mediation vendor to meet deadlines and ensure accuracy.
- Eventually build and lead an internal team to handle these specialized functions.
Qualifications:
- Extensive experience in medical billing, RCM, and the "No Surprises Act" mediation/arbitration process.
- Several years of management experience in RCM, with deep understanding of federal regulations.
- Strong project management and organizational skills.
- Ability to negotiate and resolve complex billing and arbitration issues with insurance companies.
Source : HumCap, Inc.
