RCM MANAGER, POSTING & CREDITS

Essential Duties:

• Provide leadership to posting and credit teams.  Ensure that equity of workloads, productivity goals and assignments are maintained. Assigns monthly benchmarks, weekly activities and daily priorities as appropriate to ensure timely completion of duties
• Plan, direct, and conduct audits to evaluate the adequacy and accuracy of documentation in support of services paid with all associated information received from ERA and EOBs including but not limited to adjustments, allowed, denials/remark codes, dates, paid amounts, etc.
• Lead the evaluation of the adequacy and effectiveness of internal and operational controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to payment posting and credit refunds
• Serve as a subject matter expert and authoritative resource on interpretation and application of documentation regarding payment posting and credit balances
• Effective communicator that is able to work closely with practice and company leadership
• Responsible for coaching, professional development, and mentoring  of payment posting and credit team members
• Develop documented policies and processes related to the management of payment posting, credits, and related matters
• Responsible for effective identification of staffing resources, recruitment and allocation of resources
• Provide guidance and motivation to team members regarding identification of activities/areas where performance can be improved
• Responsible for making recommendations and/or decisions for hiring, corrective actions, terminations, and performance evaluations
• Other duties as assigned by the Vice President of Revenue Cycle Management

Required Qualifications:

• 5-10 years RCM experience
• 3 year in payment posting and credit research and processing experience
• Bachelor’s degree or equivalent work experience
• Minimum of 3-5 years of management experience in a physician or healthcare MSO organization
• Ability to manage and direct others in a fast-paced, team-oriented environment including remote indirect and direct reports

• Independent judgment; effective, team-oriented leadership skills.
• Excellent analytical, problem-solving and decision-making skills
• Excellent communication skills (verbal, written & presentation)
• Excellent computer skills with strong proficiency in reporting, spreadsheet applications and experience with Microsoft Office
• Travel up to 25% as needed for practice support, audits, learning and development, team member coaching, etc.

Preferred Qualifications:

• The role is based in the Alpharetta, GA, office which follows a hybrid work structure where employees can work remotely or from the office, as needed, based on demands of specific tasks or deadlines, as determined by the manager. If outside Alpharetta, fully remote is available, but must be in states where we operate (AL, GA, LA, MS).

Physical Requirements:

Physical requirements for the position include the ability to frequently hear and communicate orally, see up close and at a distance, read and comprehend, stand, sit, walk, reach, handle, and/or feel objects. Must be able to climb, pull, push and kneel. Maximum unassisted lift = 25 lbs. Average lift less than 10 lbs. Must be able to work extended hours as necessary.