Responsibilities: Leadership and Staff Management:
- Oversee day-to-day billing operations across multiple specialties, with emphasis on orthopedics and ASC billing.
- Manage and mentor billing staff; drive accountability, productivity, and professional development.
- Perform hands-on billing functions as needed (coding review, claim corrections, denials, appeals).
- Develop, analyze, and present RCM performance reports, KPIs, and forecasting.
- Drive process improvement initiatives to reduce denials, accelerate cash flow, and improve accuracy.
- Ensure compliance with payer rules, state/federal regulations, and industry best practices.
- Maintain proficiency in multiple practice management and EHR systems.
- Conduct regular performance evaluations, provide feedback, and implement training programs to enhance staff skills and knowledge.
KPI Monitoring and Performance Management:
- Collaborate with leadership to implement and monitor KPIs to measure the efficiency and effectiveness of the revenue cycle processes.
- Regularly monitor and analyze performance data, identify areas for improvement, and implement corrective actions to optimize revenue cycle operations.
- Ensure timely and accurate submission of claims, payment posting, denial/appeal management, coding, and accounts receivable follow-up.
Culture and Process Improvement:
- Promote a culture of continuous pursuit of Awesome, encouraging teamwork, collaboration, and efficiency.
- Identify process bottlenecks and develop strategies to streamline operations and enhance revenue cycle performance.
- Drive the adoption of best practices, technologies, and teamwork to optimize revenue cycle processes.
Required Skills & Experience
- 3-5+ years in medical billing leadership (RCM Manager, Billing Supervisor, etc.).
- Proven experience with orthopedic and ASC billing, including high-volume surgical claims.
- Strong staff leadership, team motivation, and performance management skills.
- Advanced reporting experience-comfort with dashboards, KPI analysis, and financial metrics.
- Analytical mindset with the ability to identify areas for improvement and drive process optimization.
- Willingness to "roll up your sleeves" and directly work accounts when needed.
- Certification in medical coding (e.g., CPC, CCS) is a plus.
- Proficiency with multiple systems, including:
- HST
- SIS (Surgical Information Systems)
- Epic
- AdvancedMD.
Join our dynamic team and make a significant impact on our revenue cycle operations. Apply now and help us maintain efficient billing and coding processes while driving a culture of Awesome!
FULL TIME BENEFITS- Employer sponsored Major Medical
- Employer sponsored Dental
- Employer sponsored Vision
- Accidental Death and Disability insurance
- 401K
- Flexible spending account
- Generous paid time off
- True opportunity for advancement
Your final compensation package will be competitive and commensurate with experience, including benefits.
