Senior RCM Process Specialist
Core
Optimizing revenue cycle management (RCM) workflows and systems to ensure efficient and compliant revenue capture for healthcare clients.
Role type
Senior RCM Process Specialist
Builds
RCM workflows and systems for healthcare clients
Domain
Healthcare / Revenue Cycle Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
RCM process analysis, healthcare billing, medical coding (CPT, ICD-10, HCPCS), claims processing, denial management, SOP development, KPI monitoring, regulatory compliance, cross-functional collaboration, training delivery, troubleshooting
Preferred skills
Project management, Modernizing Medicine product experience, CRCR or CHFP certification
Technologies
RCM software, Electronic Health Record (EHR) systems
Responsibilities
Analyze existing RCM processes across registration, charge entry, claims submission, payment posting, and denial management; Identify bottlenecks and compliance risks; Develop and implement process improvements and SOPs; Collaborate with product development and client success teams; Design and deliver training programs; Monitor RCM KPIs and report on effectiveness; Assist in documenting product requirements; Troubleshoot complex RCM issues
Seniority
Senior, hands-on IC