RCM Operations Manager

Description

The Operations Manager oversees the team’s performance, improving processes to achieve the RCM’s business and financial goals. Areas of company responsibilities include

• onboarding and offboarding of clients
• subject matter expertise in specific systems used daily by staff and clients
• RMC and MTS business processes
• Vendor processes management
• Onboarding and offboarding of staff
  
  

This role is critical in ensuring the efficiency, accuracy and compliance of RCM workflows and functions.

Essential Duties and Responsibilities (include the following. Other duties may be assigned.)

Develop and implement process improvements to increase efficiency and reduce gaps in productivity and error.

Develops and monitors KPIs to track team performance and related client outcomes

Achieves optimization and max efficiencies through process engineering and system implementation.

Works with vendors, both onshore and offshore, to improve process and efficiencies.

Collaborates with cross-functional teams including IT, HR, Client Services and others.

Serves as primary point of contact for escalated client issues around operational concerns.

Supervisory Responsibility

Leads operations team staff daily and monitors their daily, weekly, monthly duties and tasks.

Manages timecards and PTO requests for team

Train, mentor and evaluate staff performance to foster accountability and continues improvement.

Competencies

To perform the job successfully, an individual should demonstrate the following competencies:

Delegation

Delegates work assignments. Gives authority to work independently. Matches the responsibility to the person. Provides recognition for results. Sets expectations and monitors delegated activities.

Intellectual-Problem Analysis

Using practical reasoning and logical thinking to understand and analyze data and information for subsequent problem resolution or solving Identifies issues, opportunities, and problems Gathers data and information Synthesizes, compares and contrasts data and information from various sources, identifying trends and associations Interprets raw data and establishes cause and effect relationships and Evokes intuition or recalls experiences to supplement findings

Intellectual-Problem Solving

Using problem analysis skills to identify and define issues for resolution and choosing optimum courses of action Involves appropriate and relevant personal in decision making opportunities Provides sound rationale for decisions Considers impact on both direct and indirect parties Identifies alternative courses of action considering implications and consequences Selects and implements ideal or at least appropriate solutions, remediation, or mitigation plans Avoids excessive wagering between options; Commits to timely, specific courses of action even when working and conferring within people groups of conflicting or differing opinions

Judgment

Displays willingness to make decisions. Exhibits sound and accurate judgment. Includes appropriate people in decision-making process. Makes timely decisions. Supports and explains reasoning for decisions.

Team Leadership

Acknowledges team accomplishments. Defines team roles and responsibilities. Ensures progress toward goals. Fosters team cooperation. Supports group problem solving.

Trait-Accountability/Results

Assuming responsibility for successfully completing assignments or tasks; self-imposing excellence standards rather than waiting for others to impose or enforce them Takes personal ownership, encouraging others to do the same, for actions and outcomes, regardless of positive or negative consequences Monitors results and takes action or notifies appropriate others of problems or issues Keeps commitments and promises to the best of one's ability; demonstrates sensitivity, good judgment, and sincerity when meeting expectations or disappointing others is unavoidable Admits mistakes and provides explanations without rationalizing or justifying judgment or actions; refocuses efforts to remedy, when necessary, in a humble and timely manner

Trait-Initiative

Seeking new/additional responsibilities, projects, tasks; Acting independently in new/routine situations. Goes beyond limits of tasks with little or no supervision, without other priorities suffering Seeks guided or dedicated support only when all other resources are exhausted Takes action without being prompted to accomplish business results and going beyond what is required to ensure satisfaction Proactively recognizes issues that need to be attended to without waiting for task assignments Is resourceful and identifies creative ways of obtaining information and results Responds to issues quickly, especially when urgency is realized

Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Strong understanding of revenue cycle management processes, payer rules and healthcare compliance
• Proven ability to lead teams, manage projects and drive operational excellence.
• Excellent analytical, problem solving and communication skills.
  
  

Education And/or Experience

• High school diploma or GED required; Bachelor’s Degree or equivalent experience preferred.
• Three years of related experience, with one year in a lead or supervisory capacity, is required.
  
  

Language Skills

English

Reasoning Ability

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Physical Demands

The physical demands described here 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.

While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is frequently required to reach with hands and arms. The employee is occasionally required to stand; walk; climb or balance; stoop, kneel, crouch, or crawl and taste or smell.

Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.