Medical Billing Manager/ RCM

About this Position

As the RCM Manager, you will be handling a team of medical billers in the Philippines and India. The role is centred around providing subject matter expertise and deliver process specific KRA/KPIs for the billing and revenue cycling process

About Neolytix

Neolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices.

Work with a company where your work can make a real impact!

• We are a boutique company respected and ️ by our clients providing no-nonsense advice on key issues that impact them.
• 4.7 ⭐ on Google and 4.2 ⭐ on Glassdoor with 80% of approval rating!

Working at Neolytix

At Neolytix, you will learn to hone your Consultative skills, develop drive & leadership, balance work with family time and importantly have fun!

• Complimentary Medical Coverage for your Family & dependents
• Retirements Savings Plan
• Life & Disability Insurance
• Work with diverse team members across countries & cultures
• Participate in Clubs based on your hobbies and share your passion with like minded enthusiasts

Job Description - RCM Delivery Manager [Principle Billing Operations]

• Reviews RCM Account & individual Biller performance across a portfolio of accounts
• Establishes performance measures for the biller(s)
• Reviews performance on a regular basis and provides coaching/ feedback to billers to improve individual and account performance
• Establishes and documents performance measures to drive incentives for the billers reports performance to billers and HR on a monthly basis

• Owns the account and process documentation for accounts and EMR specific trainings for billers
• Schedule appropriate training sessions for new and existing billers
• Reports Weekly and Monthly performance to management
• Trains new hires on RCM process
• Works with the Learning & Development team to create eLearning modules

• Schedule and perform pre and post-training assessments
• Performs Monthly, Quarterly and annual assessments for the team
• Responsible for ESAT and maintaining a low attrition rate

Job Requirements

• RCM Subject Matter Expert Understands and can resolve claim level issues with clients
• Excellent knowledge of US healthcare and end to end RCM process
• Excellent team management skills
• Can Onboard a new RCM Client and setup team and processes for delivery
• Should have expert level proficiency in at least 3 different EMR systems

• Experienced in establishing KPIs and monitoring performance for the account and team by extracting reports and analyzing data
• Will own the KPIs for the team and account performance
• Will provide weekly client reporting
• Will lead Monthly business reviews with clients

Desired Profile:

• Minimum 6 years of US Healthcare experience (Mandatory experience in AR calling with Denial management and other additional experience in areas such as Credit Balance, authorization and patient calling will be preferable)
• Maximum 10 years experience
• Strong Operations Management and Team management background

• Minimum 1 year dedicated RCM product trainer experience OR Quality Analyst experience working in a RCM process - TTT candidates strongly preferred
• Excellent business communication, presentation, and interpersonal skills Can manage performance reviews with Clients
• Excellent interpersonal skills and the proven ability to build and maintain strong and effective customer and internal relationships
• Excellent time management and organizational skills
• Must demonstrate the ability to work independently & prioritize multiple objectives in a rapidly changing environment.