| Revenue Cycle Management (RCM) Product Manager || Birmingham Alabama || Remote at Birmingham, Alabama, USA |
| Email: roopesh@vizoninc.com |
|
https://jobs.nvoids.com/job_details.jsp?id=2274917&uid= From: Roopesh Sharma, VIZON INC roopesh@vizoninc.com Reply to: roopesh@vizoninc.com Hello, Hope you are doing great. Please response me on my official email - roopesh@vizoninc.com Please ensure that the resume does not exceed 5 pages. Need Active LinkedIn Profile with Profile photo & 300+ connections! Job Title: Revenue Cycle Management (RCM) Product Manager Location: Remote (with potential travel to AFC locations) - Birmingham Alabama 35242 Duration: 3-6-month contract-to-hire The RCM Product Manager will be responsible for leading revenue cycle initiatives while also actively engaging in process optimization. This role requires a blend of strategic leadership, technical expertise in RCM systems (Experity preferred), and process automation experience. The ideal candidate will have a player-coach mentality, balancing high-level RCM strategy with hands-on execution. Key Responsibilities Revenue Cycle & Process Optimization Oversee end-to-end revenue cycle processes from patient registration to reimbursement. Optimize RCM KPIs (clean claim rates, denial rates, days in A/R, collection efficiency). Implement automation and AI-driven RCM tools to improve accuracy and efficiency. Product Leadership & Hands-On Execution Act as a liaison between clinical, billing, IT, and finance teams to align revenue cycle priorities. Lead Experity RCM system enhancements, ensuring seamless integration with AFC workflows. Develop and execute denial management strategies to improve first-pass claim acceptance rates. Stakeholder Management & Compliance Ensure compliance with HIPAA, CMS, payer policies, and urgent care billing regulations. Partner with payers and clearinghouses to negotiate reimbursement rates and resolve disputes. Provide training and mentorship to revenue cycle teams on best practices. Technology & Innovation Drive Experity optimizations to improve claim accuracy and financial reporting. Leverage AI, predictive analytics, and robotic process automation (RPA) to optimize claim processing. Explore interoperability solutions to streamline data exchange with insurance providers. Ideal Candidate Profile: 6+ years of RCM (Revenue Cycle Management) experience, preferably in urgent care, ambulatory care, or multi-site healthcare operations. Product Management & Cross-Functional Leadership Strong expertise in Experity (or similar EHR/RCM platforms like Epic, Athenahealth, eClinicalWorks). Deep knowledge of claims processing, CPT/ICD-10 coding, denials management, and payer reimbursement strategies. Experience leading RCM automation, AI-driven solutions, and process redesign initiatives. Hands-on experience optimizing RCM KPIs (clean claim rates, denial rates, days in A/R). Ability to work cross-functionally with clinical, billing, IT, and finance teams. Preferred (Nice-to-Have) Certifications: HFMA CRCR, CPC, or other RCM credentials. Experience negotiating payer contracts and working with clearinghouses . Background in AI-driven RCM solutions and automation tools . A highly experienced RCM professional with hands-on Experity expertise, strong automation/process improvement skills, and the ability to lead cross-functional teams. The best candidates will have both operational and strategic experience, technical proficiency in revenue cycle platforms, and a history of optimizing RCM workflows & payer reimbursements. Embodies a player-coach mentalityleading strategic initiatives while actively engaging in day-to-day RCM operations. Keywords: artificial intelligence rlang information technology Revenue Cycle Management (RCM) Product Manager || Birmingham Alabama || Remote roopesh@vizoninc.com https://jobs.nvoids.com/job_details.jsp?id=2274917&uid= |
| roopesh@vizoninc.com View All |
| 02:43 AM 21-Mar-25 |