Manager Transition - Operations - RCM

The RCM Transition is responsible for overseeing the transition of Revenue Cycle Management (RCM) services to new systems or third-party vendors, ensuring a smooth transition with minimal disruption to existing processes and maximum benefits to clients.

Responsibilities:

• Develop and execute project plans, timelines, and budgets for RCM transitions, while ensuring compliance with relevant regulations and standards.
• Build the department and team of RCM Transition Specialists to ensure they are delivering high-quality services and meeting project timelines and budgets.
• Coordinate with internal and external stakeholders, including IT, billing and coding teams, vendor partners, and clients, to identify and resolve issues related to RCM transitions.
• Ensure that RCM processes, policies, and procedures are optimized for efficiency, accuracy, and compliance with regulatory requirements.
• Analyze and report on RCM performance metrics to identify opportunities for improvement and ensure alignment with client needs and expectations.
• Develop and deliver training programs for staff and clients on new RCM systems and processes.
• Maintain up-to-date knowledge of industry trends and best practices related to RCM, and incorporate them into RCM transition plans and strategies.
• Manage communication plans and ensure that all stakeholders are informed of the progress of RCM transitions.
• Conduct risk assessments and develop contingency plans to mitigate potential risks associated with RCM transitions.
• Work collaboratively with other departments and stakeholders to ensure a smooth transition and integration of RCM systems and processes.
• Identify opportunities for innovation and process improvements to enhance the efficiency and effectiveness of RCM services.

Requirements:

• Bachelor's degree preferred
• Candidate needs to have Excellent Communication and Presentation skills.
• Minimum of 7-10 years of experience in healthcare revenue cycle management, with at least 3- 5 years in a leadership or project management role.
• Proven experience in managing complex RCM transition projects, including developing and executing project plans, timelines, and budgets.
• Strong leadership skills, including the ability to manage a team of professionals and provide direction and guidance to achieve project goals.
• Excellent interpersonal and communication skills, with the ability to work effectively with diverse stakeholders and clients.
• Strong analytical and problem-solving skills, with the ability to use data to inform decisions and drive process improvements.
• Knowledge of relevant regulations and standards related to healthcare revenue cycle management, including HIPAA, HITECH, and CMS guidelines.
• Strong project management skills, including the ability to manage multiple projects simultaneously and meet deadlines.
• Experience with RCM systems and technologies, including electronic health record (EHR) systems, billing and coding software, and claims processing platforms