Senior Manager RCM

The Senior Manager, RCM leads insurance follow-up operations for Omega clients, ensuring high-quality service delivery and strong client satisfaction. This role oversees team performance, workload management, and operational execution while partnering closely with clients to proactively address challenges and drive results. The ideal candidate will brings strong Accounts Receivable (AR) leadership experience, a track record of developing and leading large onshore teams, and the ability to build trusted relationships with both clients and team members. Experience in Durable Medical Equipment (DME) revenue cycle operations is preferred.

Essential Job Functions

• Maintain an adequately trained claims processing staff to handle current production goals within the department. Monitor and ensure that the daily contact, production goals and quality of work are being achieved by the staff. Track production on proper forms and documentation.

• Communicate daily via email or verbally with the end client to address any operational concerns or issues that arise. Close the loop with complete information such as root cause analysis and next steps.

• Provide coaching and development daily through informal observation and formal monitoring. This includes monitoring calls, voice and emails and conducting side-by-sides and/or coordinating such activities with the Trainer. Conduct daily coaching sessions with staff members and provide performance feedback.

• Ensure staff understands and follows processing procedures. Coordinate with the Director any required changes.

• Directly manages full onshore Operations team for specific client, solely dedicated.

• Works with offshore partners to ensure excellent client delivery across all geographies.

• Manage direct reports: Managers/Supervisors for specified client(s).

• Strategically manages expansion of the RCM business, develops, and maintains a strong partnership with client and firm understanding of business needs.

• Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance. 

Key Success Indicators/Attributes

• Ability to prioritize and multi-task in a fast-paced, changing environment.

• Demonstrate ability to work in all work types and specialties.

• Demonstrate ability to self-motivate, set goals, and meet deadlines.

• Demonstrate leadership, mentoring, and interpersonal skills.

• Demonstrate excellent presentation, verbal, and written communication skills.

• Ability to develop and maintain relationships with key business partners by building personal credibility and trust.

• Maintain courteous and professional working relationships with employees at all levels of the organization.

• Demonstrate excellent analytical, critical thinking and problem-solving skills.

• Skill in operating a personal computer and utilizing a variety of software applications.

• Critical thinking skills demonstrated by the ability to make key decisions at client sites and with the oversight of direct reports without on-going feedback or supervision from upper management.

Required Education and Experience

• Working knowledge of insurance claims processing, including Medicare processing.

• Bachelor's degree in business or a related field or a combination of relevant work experience and training including familiarity with Coding, CPT, Medical Terminology and Credentialing.

• At least 5+ years’ experience in hospital or physician insurance follow-up and resolution including 3 years in a supervisory role.

Preferred Qualifications

• Experience in Durable Medical Equipment (DME) revenue cycle operations preferred.

• Strong foundation in Accounts Receivable (AR) strategy development and execution.

• Proven experience building, developing, and leading large onshore teams.

• Demonstrated ability to establish strong relationships with clients, leadership, and team members.

• Experience creating training programs, improving team capabilities, and addressing knowledge gaps within the revenue cycle management environment.

Supervisory Responsibility
Yes

WORK ENVIRONMENT

This job operates in an office environment. This role routinely uses standard office equipment such as computers and phones.

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:

• Stationary Position: Must be able to remain at a desk for prolonged periods for most of the workday.

• Operating Equipment: Constantly operates a computer, keyboard, mouse, and telephone/headset, including frequent repetitive hand/wrist motions for typing and prolonged periods of screen viewing and virtual communication.

• Visual Requirements: Requires close visual acuity to view computer screens, read documents, and analyze data.

• Cognitive Focus: Sustained concentration for problem-solving and task management, including ability to maintain concentrated attention to detail to ensure coding accuracy and compliance

• Communication: Frequently communicates with coworkers and clients via speech and hearing.

• Movement: Occasionally stands, walks, or reaches to access office equipment, files, or supplies. Light lifting of up to 10 pounds may occasionally be required.

POSITION TYPE

This position can be full-time or part-time as determined by the job requisition.

EXPECTED HOURS OF WORK

Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5 p.m EST. This position occasionally requires long hours and weekend work.

Travel

Minimal travel required; up to 5%