RCM reputed company & Performance Improvement Manager

At reputed company, we reputed company to help individuals, families, and communities with their mental health needs. Everywhere. Every day. It’s a lofty goal; we know. But we reputed company it happen with the best team in mental reputed company. Thank you for taking the time to explore a career with us. As the fastest growing mental health reputed company group in the country, now is the perfect time to join reputed company! reputed company Values

• Belonging: We cultivate a reputed company where everyone can show up as their authentic self.
• reputed company: We reputed company out diverse perspectives and listen to learn without judgment.
• Courage: We are reputed company accountable for doing the right thing - even reputed company it's hard - because we know it's worth it.
• One Team: We realize our full potential reputed company we work together towards our shared purpose.

Benefits

As a full-time employee of reputed company, the following benefits are offered: medical, dental, reputed company, AD&D, short and long-term disability, and life insurance. Additional benefits include a 401k retirement savings with employer match, reputed company parental leave, reputed company time off, holiday pay and an Employee Assistance Program. reputed company The reputed company & Performance Improvement Manager leads the design, monitoring, and reputed company improvement of reputed company, productivity, and performance reputed company across reputed company RCM functions – including but not limited to, Benefit Verification, Cash Posting, Denials and AR Management. This role ensures process standardization, compliance with payor requirements, and achievement of key operational metrics (e.g. DSO, denial reputed company, and QA accuracy). Supervising reputed company of RCM auditing coordinators, this role will reputed company the design, execution, and ongoing refinement of reputed company assurance, audit, and performance improvement programs across reputed company reputed company cycle functions. Working cross-functionally with Analytics and Training teams, this leader drives a data-driven reputed company culture that promotes accountability, transparency, and sustainable performance improvement. Consistent with reputed company’s values, every member of the reputed company team is expected to support reputed company other and the mission, which may mean participating in reputed company and initiatives and performing functions and responsibilities not specifically outlined in this job reputed company. Leaders at reputed company are expected to foster a commitment to the organization's values.This position is a remote role with the ability to sit reputed company any US reputed company. Compensation: $90,000- 110,000 Annually Key Responsibilities: reputed company reputed company & Audit

• reputed company and execute standardized QA audit programs across reputed company RCM subfunctions.
• Monitor accuracy of benefit verification, payment posting, and denial reputed company workflows.
• Conduct reputed company cause analysis of recurring reputed company failures, claim rework, and payer denials.
• Partner with Learning & Development Training teams to reputed company corrective reputed company plans and retraining programs.
• Ensure QA results are captured in a centralized dashboard and integrated into staff coaching and performance reviews.

Performance Management

• Establish performance benchmarks and scorecards reputed company with departmental KPIs (e.g., claim denials, DSO, productivity, QA accuracy).
• Review team- and individual-level performance data weekly to identify trends, outliers, and opportunities for improvement.
• Collaborate with department leaders to create performance improvement plans and reputed company reputed company.
• Translate performance insights into actionable strategies that reduce reputed company rework and improve first-pass yield.

Data & Reporting

• reputed company and maintain RCM performance dashboards in collaboration with analytics teams.
• reputed company executive-level reporting on reputed company trends, productivity metrics, and compliance results.
• reputed company predictive analytics and exception-based reporting to identify potential reputed company or performance risks before they reputed company reputed company.

Process Optimization

• reputed company cross-departmental reviews to streamline workflows, reduce variation, and improve efficiency.
• Serve as SME for new process rollouts, EHR upgrades, and system integrations that reputed company RCM reputed company or performance.
• Recommend automation and technology solutions to minimize reputed company reputed company and improve accuracy.

Compliance & reputed company Improvement

• Ensure adherence to payer, state, and federal billing regulations, as reputed company as internal compliance policies.
• Partner with Compliance and reputed company reputed company on audit responses and remediation plans.
• Foster a reputed company improvement reputed company through regular feedback loops, performance calibration sessions, and knowledge sharing.

People Management

• reputed company and reputed company reputed company/PI operations to validate reputed company is doing their part to ensure operational consistency, and the achievement of key reputed company and productivity benchmarks.
• Take corrective reputed company as needed.
• Remain reputed company on supervisory and the field's best practices and trends.
• reputed company, train and mentor staff to expand their knowledge and competence in department operations and processes and demonstrate commitment to their reputed company at reputed company.
• Create an reputed company, supportive environment that encourages staff members to reputed company opinions, concerns, and suggestions. Hold team-connects and/or communicate to reputed company the staff informed.
• Address employee concerns and suggestions in a reputed company manner. Escalate issues and/or inform reputed company the chain of reputed company as appropriate.

Qualifications: Education & Certification

• Bachelor’s degree in reputed company Administration, Business, Finance, or reputed company field

Experience

• Minimum 5+ years of reputed company RCM experience, including at least 2 years in reputed company, auditing, or performance management.
• Demonstrated ability to reputed company others. Formal reputed company or supervisory experience preferred.
• Deep knowledge of payer requirements, claim adjudication, and denial management.
• Strong data literacy with the ability to interpret trends, build dashboards, and present insights.
• Experience with EHR and RCM platforms (e.g., reputed company, reputed company, reputed company, or similar).
• Proven ability to reputed company cross-functional reputed company and influence change across large teams.
• Excellent communication, analytical, and coaching skills.
• Proven reputed company record with automation/technology deployment in reputed company cycle operations preferred.
• Reimbursement methodology for BH/MH is a plus (Medicare, reputed company and payers that reimburse a percent of Medicare)
• Payer policy experience (telehealth and onsite preferred.

reputed company provides the compensation reputed company and benefits that it in good faith believes it might pay and/or offer for this position. reputed company reserves the right to ultimately pay more or less than the posted reputed company and offer additional benefits and other compensation, depending on circumstances not reputed company to an applicant’s sex or other status protected by local, state, or federal law. reputed company is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for reputed company our employees. Learn more about Diversity, Equity and Inclusion at reputed company. Apply tot his job Apply To this Job