Senior Manager RCM (51246)

Who We Are:

Platinum Dermatology Partners is a network of high-quality dermatology clinics that focus on collaborative and innovative ideas to drive growth. We offer general dermatology, cosmetic, medical, plastic surgery, and cancer screening treatments. We have over 145 clinics, over 350 providers, and more than 2300 employees in clinics across Texas, Arizona, California, Nevada, and Florida. We are a rapidly growing company that allows our doctors to focus on providing exceptional care without worrying about the operational side of the business. Our core values focus on collaboration, ownership, respect, excellence, authenticity, and integrity. Our purpose is to empower the practice of exceptional dermatology.

Company Conformance Statements:

In the performance of their respective tasks and duties, all employees are expected to conform to the following:

• Perform quality work within deadlines with or without direct supervision.
• Interact professionally with other employees, customers, and suppliers.
• Work effectively as a team contributor on all assignments.
• Work independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations.

Position Summary:

The Senior Manager of Revenue Cycle is responsible for overseeing and optimizing all aspects of the healthcare revenue cycle, including authorizations, claims management, denial management/prevention, reimbursement, and accounts receivable performance. This role ensures efficient revenue cycle operations, regulatory compliance, and achievement of financial performance goals while providing support to revenue cycle staff.

The Senior Manager partners closely with leadership, clinical departments, finance, compliance and payer representatives to drive revenue cycle performance and achieve organizational financial goals.

Principal Duties and Responsibilities:

• Manage day-to-day revenue cycle activities from authorization to final account resolution.
• Monitors revenue cycle performance metrics and implement process improvements as needed.
• Works collectively with the VP of RCM to conduct ongoing analysis of RCM/cash flow cycle for all corporate markets.
• Oversee accounts receivable management and collection efforts to achieve cash targets.
• Develop action plans to address performance gaps and improve revenue outcomes.
• Acts as a key liaison for review and analysis of RCM-related questions and concerns within the provider community surrounding cash-flow questions and concerns.
• Monitor and analyze revenue cycle trends to reduce claim denials and improve first-pass claim acceptance rates.
• Educates the provider community on corporate RCM workflow design and opportunities for clinic-based improvement(s).
• Collaborate with clinical and operational departments to assist in resolving the root cause of denials.
• Performs Practice Due Diligence as it relates to RCM Processes & Procedures and identifies opportunities for process improvement.
• Ensure timely and accurate claim submission and reimbursement processes.