Description

Job Title:                                Manager, RCM Consulting  

Company:                              Tegria Revenue Cycle Management (Tegria RCM)

Department:                           Consulting

Leader:                                  Divisional Vice President, Consulting Services

FLSA Status:                         Salaried/Exempt

Work Location:                      Remote within the U.S.

Travel:                                    25%

Compensation:                     $91,200 - $164,000 

Overview

The RCM Consulting Manager is responsible for providing support to all departments within the Revenue Cycle including Patient Access, Revenue Integrity, HIM, Coding, and Patient Accounting. This position is an opportunity for a detailed, self-motivated, organized individual to support these departments and provide value to the greater organization.  You will help share your application knowledge internally, mentor others as needed, escalate issues, and generally ensure the success of projects and the department.

Responsibilities include:

• Provide leadership to teams working with multiple payors, across multiple states and various information systems across a multitude of projects.
• Ensure team is high functioning and efficient and will suggest process improvements as needed
• Assist the Revenue Cycle team with aid and guidance while removing roadblocks that imped processes
• Interface with clients to ensure long term relationships
• Generates revenue cycle dashboard, reporting and analytics used to monitor and optimize performance, productivity, and revenue.
• Creates an underlying reporting structure that is dynamic and maintainable, and can be expandable over time
• Develops metrics that can be rolled up from individual staff to department to hospital to overall system
• Other duties as assigned                                                                                   

Qualifications

• Bachelor’s degree with preference in healthcare administration, or equivalent combination education and work experience
• 3+ years’ experience in Revenue cycle (not necessarily management) or healthcare provider environment
• Solid leadership style and must have led at least a small team
• PFS, patient access or patient accounts experience
• SQL and Epic reporting amongst other systems to provide metrics and data
• Critical-thinking, reasoning, problem-solving skills and adaptability to change an absolute must
• Meaningful statistics as a stand-out performer
• Project Management, follow through, time-management and prioritization imperative
• Capability to identify problems and issue and provide solutions with a forward-thinking attitude
• Understanding of payer policies and competency to interpret explanation of benefits
• Ability to work collaboratively and communicate effectively within an ambiguous environment
• Technical aptitude and proven track record of learning new systems
• Strong written and verbal communication skills
• Ability to maintain a high level of detail and confidentiality

Preferred Qualifications:

• Prior consulting experience
• Epic certification
• Data Analytics/Software background with experience in a variety of technologies (Tableau, Power BI, Excel)
• Possess good knowledge of healthcare industry standard metrics (e.g., HFMA, NAHAM, etc.) Healthcare Financial Management Association, National Association of Healthcare Access Management)

Physical Requirements:

The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  Listed below are the physical requirements required while performing the duties of this job.

• The employee is regularly required to: stand; sit; talk; hear; use hands and fingers to operate a computer and telephone keyboard; and reach, stoop and/or kneel to install computer equipment
• The employee must have the specific vision ability to complete close vision requirements due to computer work
• The employee is required to be able to complete light to moderate lifting

Our Commitment to Diversity, Equity, and Inclusion:

We welcome and respect the variety of experiences, viewpoints, and cultural backgrounds that everyone brings to our workplace. Tegria RCM makes every effort to promote a workplace where leaders model inclusive behaviors and individuals feel respected, valued, and empowered.  Together, we promote and sustain an inclusive workplace where people feel a sense of belonging