Manager DME RCM Operations

This role requires overseeing client delivery, managing KPIs, implementing process improvements, and optimizing operational efficiency while effectively leveraging both onshore and offshore teams.

Key Responsibilities:

• Team Management: Lead and manage a team of 75 people, including both onshore and offshore resources, ensuring high performance and alignment with DME-specific revenue cycle goals.
• KPI Improvement: Focus on improving DME-specific RCM metrics such as cash collection, account resolution rates, denial management, and reimbursement timelines.
• Cross-Functional Collaboration: Work closely with internal teams (operations, finance, IT) and offshore resources to create and execute RCM strategies for DME clients, ensuring smooth workflows and excellent service delivery.
• Process Improvement: Analyze existing processes for inefficiencies and implement best practices to standardize and optimize DME RCM workflows.
• Training and Development: Provide ongoing training to internal teams and offshore resources, emphasizing best practices for DME billing, coding, and claims resolution.
• Performance Monitoring: Evaluate and track the impact of process improvements, ensuring KPIs and DME-specific revenue cycle goals are met.
• Subject Matter Expertise: Act as a subject matter expert on DME RCM operations, providing guidance and support to internal teams and clients for effective management of the revenue cycle.
• Reporting: Prepare regular progress reports and updates for senior management, highlighting key achievements, challenges, and milestones in DME RCM operations.
• Industry Knowledge: Maintain a deep understanding of industry trends and regulatory requirements related to DME, including changes in payer policies and DME-specific billing practices.

Qualifications:

• Educational Background: Bachelor's degree in Business Administration/Healthcare Administration a plus
• Experience: Minimum of 5 years of experience in RCM operations, with a specific focus on Durable Medical Equipment (DME), process improvement, and successful implementation.
• Leadership Skills: Proven ability to manage large, distributed teams, including offshore resources, while maintaining high levels of productivity and engagement.
• DME Expertise: In-depth knowledge of DME billing, coding, payer requirements, and reimbursement processes.
• Software Knowledge: Experience with Brightree software systems and billing software is required.
• Project Management: Strong project management skills with the ability to manage multiple DME-specific projects and meet deadlines.
• Compliance and Regulations: Knowledge of regulatory standards and compliance requirements related to RCM in the DME industry, such as HIPAA and HITECH.
• Certifications: Certification in project management or revenue cycle management (e.g., PMP, CRCR) is a plus.
• Communication: Excellent communication and interpersonal skills, with the ability to effectively collaborate with internal teams, clients, and stakeholders in the DME space.

Benefits:

• Competitive salary and performance-based bonus
• Comprehensive health insurance plan
• 401 (K)
• Paid time off and holidays
• Professional development opportunities

Knack RCM is an equal opportunity employer and is committed to fostering a diverse and inclusive work environment. We encourage candidates from all backgrounds to apply.