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As the Senior RCM Specialist, you will partner with business leaders to improve and deliver positive change throughout all revenue cycle processes. This role will collaborate with the RCM supervisor, RCM Sr. Mgr./Mgr. to review the quality, efficiency, and productivity of our vendor partners. The Sr. RCM Specialist will work to improve the accuracy and effectiveness of revenue cycle processes through leading account audits, data analysis, training sessions, and team/vendor meetings, to name a few. This position will also be responsible for maintaining ATI’s policies and procedures as it relates to their focused area within the revenue cycle. This role will be the subject matter expert in their focused area of the revenue cycle and collaborate with other process leaders to resolve process breakdowns.
Job Responsibility:
Partner with business leaders to improve and deliver positive change throughout all revenue cycle processes
Collaborate with the RCM supervisor, RCM Sr. Mgr./Mgr. to review the quality, efficiency, and productivity of vendor partners
Work to improve the accuracy and effectiveness of revenue cycle processes through leading account audits, data analysis, training sessions, and team/vendor meetings
Maintain ATI’s policies and procedures as it relates to focused area within the revenue cycle
Assist in the summarizing of audit data to identify process improvement opportunities and creating Service Level Agreement (SLA) quality reporting
Provide ongoing monitoring of standards by conducting audits
Perform timely reviews of patient accounts and remittances for denials to determine root cause
Provide subject matter guidance to ATI team members and offshore vendor partner teams
Prepare, schedule, and lead collaboration/training sessions
Monitor KPI & SLA metrics
Develop performance improvement plans for offshore vendor partners
Develop detailed and summary reports
Maintain all policies and standard operating procedures
Stay current with and ensure adherence to payor guidelines, policies, and regulations
Responsible for communicating with payors
Requirements:
High School Diploma, GED, or suitable equivalent
5 years of healthcare experience in clinical or office setting
3 years of healthcare revenue cycle experience
Offshore revenue cycle vendor experience
Excellent in Microsoft Office applications, capable of creating detailed analyses using pivot tables and other formulas/features within Excel
Strong attention to detail
Ability to prioritize and manage multiple tasks simultaneously
Excellent interpersonal and communication skills
Must have excellent organizational skills and ability to prioritize and coordinate workload