[Hiring] Manager, RCM @Omega Healthcare Solutions

Role Description

The Manager, RCM directs and coordinates insurance follow-up activities within assigned department, ensuring external client satisfaction. Coordinates, manages, and facilitates workload, assignments, tasks, and projects recognizing production goals.

• 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.
• Conduct daily coaching sessions with staff members and provide performance feedback.
• Ensure staff understands and follows processing procedures.
• Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.

Qualifications

• 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 3 years’ experience in hospital or physician insurance follow-up and resolution including 2 years in a supervisory role.

Requirements

• 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 ongoing feedback or supervision from upper management.

Benefits

• Comprehensive benefits package that may include health, dental, and vision coverage.
• Voluntary insurance options.
• 401(k) plan with employer match.
• Professional development opportunities.
• Paid time off and holiday pay.
• Opportunity to participate in bonus programs, commissions, or other variable incentive plans.

Company Description

Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines.