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Manager, RCM
AdaptHealth. Oversee designated domestic and offshore Revenue Cycle Management staff and ensure RCM functions are completed within established timeframes .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Revenue Cycle Management, including oversight of domestic and offshore teams, management of billing processes, and compliance with insurance regulations. Proven ability to analyze metrics, improve departmental efficiency, and train staff on industry standards and practices.
Highest-signal resume keywords
Revenue Cycle ManagementHME Claims ExperienceBilling Discrepancy ResolutionKPI MonitoringTeam Leadership
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ProcessingBilling ProceduresInsurance GuidelinesPatient Accounts ReceivableData AnalysisPerformance MetricsQuality ImprovementAudit ReportingStaff TrainingOnboarding
Soft Skills
CommunicationProblem-SolvingCoachingConflict ResolutionTeam Development
Tools & Technologies
AdaptHealth System
Certifications & Qualifications
Associate Degree
Industry Keywords
Health Care AdministrationInsurance Customer ServiceMedicare CertifiedThird-Party ReimbursementGovernment Regulations
About the role
Key responsibilities & impact- Oversee designated domestic and offshore Revenue Cycle Management staff and ensure RCM functions are completed within established timeframes
- Manage day-to-day RCM team processes across locations
- Create and monitor daily, weekly, monthly, and quarterly KPIs for offshore RCM staff
- Track, trend, and publish metrics for completed RCM work
- Ensure accurate and complete patient insurance information
- Resolve billing discrepancies, unprocessed claims, denials, payer disputes, and insurance billing inquiries
- Review, work, reprocess, or credit-adjust claims and accounts
- Improve departmental systems and processes, quality, efficiency, and bottlenecks
- Report audit metrics, accuracy, and productivity rates
- Train and develop team members on AdaptHealth policies, protocols, insurance guidelines, and claim denials
- Handle escalated phone calls and insurance billing issues
- Communicate with other departments to resolve accounts and reduce insurance denials
- Identify billing trends and root causes and report findings to management
- Provide payer feedback to AdaptHealth leadership
- Maintain knowledge of current HME products and services
- Coordinate accurate billing and payer information in the AdaptHealth system
- Ensure completion of month-end processes before close
- Select and hire qualified staff, manage onboarding, training, feedback, coaching, counseling, and performance evaluations
- Establish department goals and objectives aligned with organizational strategy
- Achieve organizational performance and retention goals
- Perform other duties as assigned
Requirements
What you’ll need- Associate degree from an accredited college is required; advanced degree preferred
- Three (3) years’ work related in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry required
- Two (2) HME claims experience is preferred
- Exact job experience is considered any of the above tasks in a Medicare certified HME, IV or HH environment that routinely bills insurance
- Knowledge of reimbursement billing procedures for third-party, private insurance, and government regulations
- Knowledge of HME products and services
- Ability to comply with federal, state, and local legal requirements
- Experience overseeing domestic and offshore RCM staff and managing patient and payer accounts receivable