Revenue Cycle Service Manager  

DrChrono is the place for talented, driven sales professionals who are passionate about the future of healthcare and building a rewarding career in sales. Our mission is to build a technology platform that enables medical practices of all sizes to make care more informed, more personalized, more interactive, and more adaptable. Our platform has been used by thousands of physicians who in turn have provided care to millions of patients.

Here’s where you come in.

We are looking for an RCM Service Manager to join our Revenue Cycle Management (RCM) team, and focus on DrChrono’s Revenue Cycle Management customers. This person will oversee the day-to-day billing and collections operations teams. He/she will be the main point of contact for assigned clients and will be responsible for all communication to the client regarding practice performance, issue resolution, and anything else related to the medical billing process.

The RCM Service Manager will work with the operations team to ensure billing and collection activities are timely and accurate, and will create and review monthly reports to analyze outcomes, performance, and identify trends. He/she will ensure HIPAA privacy and security regulations are being followed.

Responsibilities

• The Service Manager has the overall responsibility for the performance of the clinic revenue cycle KPIs (e.g. days in accounts receivable, first-pass payment resolution, best practice office workflow which results in timely signed visits), subject matter expertise, and Client satisfaction ratings are the primary measures of success
• Establishing and maintaining system parameters that support timely submission of claims to payers resulting in payment maximization that is both efficient and effective
• Managing Client accounts receivable, including analyzing by category and by payer and offering strategic solutions to reduce time in aging
• Directing the AR team on follow up work to determine unpaid claim status and taking appropriate actions to ensure prompt payment
• SME in revenue cycle management, which includes monthly and quarterly reporting to client, identifying issues affecting performance, and recommending actions to drive success
• Deliver exceptional customer service by resolving patient escalations timely
• Collaborate with other departments on software functions, workflows and best practices to assist clients and help develop and suggest new reporting tools needed to analyze a client account.
• Build out and document practice and company-specific protocols and processes.
• Provide information pertaining to billing, coding, managed care networks, insurance carriers and reimbursement to the Executive team or clients as needed.
• Attend relevant seminars to remain abreast of current issues regarding revenue cycle management, Medicare compliance and HIPAA.
• Assist clients with transactional changes to their accounts - provider adds, plan changes, reduction of fees, churn.

Must Haves

• Minimum of 3 years experience in healthcare account management or revenue cycle operations. Preferably in an outsourced billing atmosphere with experience serving many specialties, client sizes, and geographic locations.
• Customer-facing experience and knowledge of medical billing/coding, front-office, physician practice management, and healthcare business processes
• Strong understanding of various insurance carriers, including Medicare, private HMOs, PPOs, and HIPAA regulations.
• Strong analytical and problem-solving skills

Nice to Haves:

• Advanced Excel skills such as the ability to use formulas to analyze data, create tables and Pivot tables, formatting and conditional formatting (Preferred)
• EHR / Healthcare experience (Preferred)
• Experience using Salesforce, Slack, Zoom, GSuite, Docusign (Preferred)
• Strong organizational skills and exceptional follow-through abilities
• Goal-oriented and data-driven
• Excellent written and verbal communication skills and strong customer service skills.