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Senior Manager of RCM - Remote

Crossroads Treatment Centers -
Greenville, SC

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Job Details

Full-time
5 days ago

Benefits

Paid parental leave
Disability insurance
Health insurance
Dental insurance
Paid time off
Parental leave
Vision insurance
401(k) matching
Life insurance

Qualifications

X12 EDI
Staff supervision
Healthcare staff management
EDI
Accounts receivable management
Medicare coding guidelines
Team leadership
CMS
CMS regulatory compliance
Medicare regulations
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medical terminology
Senior leadership

Full Job Description

Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.

Day in the Life of a RCM Senior Manager

Provide senior-level leadership and oversight for assigned RCM teams, including Eligibility Verification, Prior Authorization, Billing Call Center, and RCM Buy & Bill teams.
Manage, monitor, and track team productivity on a daily, weekly, and monthly basis to ensure operational expectations, performance benchmarks, and revenue cycle goals are achieved.
Ensure billing, collections, payment posting, adjustments, eligibility verification, authorizations, claim follow-up, denials, credits, and accounts receivable activities are completed timely and accurately.
Promptly respond to internal and external requests for information and ensure appropriate follow-up to all interactions, questions, and concerns.
Initiate and maintain direct contact with field staff, center operations, leadership, and cross-functional partners to support proactive issue resolution and timely responses.
Deliver required reports and operational updates to the Senior RCM Director and senior leadership; identify and communicate resolution plans for payor denial trends, authorization barriers, inaccurate charges, vendor concerns, workflow gaps, and reimbursement issues.
Review monthly and periodic reports, analyze outcomes, identify trends, and communicate findings, risks, and recommendations to leadership and staff.
Maintain standardized operational workflows to improve efficiency, quality outcomes, compliance, and maximized revenue.
Effectively use dashboards, productivity trackers, issue logs, and reporting tools to monitor performance, identify risks, and demonstrate results.
Meet regularly with staff individually and as a group to review updates, reinforce expectations, address barriers, and support continued development.
Provide training, mentoring, coaching, and constructive feedback to staff to support policy adherence, procedural accuracy, productivity, and performance improvement.
Analyze and address staff performance, conduct, timekeeping, attendance, workload coverage, training needs, and other staffing matters in a timely, professional, and appropriate manner.
Professionally interact with company teams, center operations, patients, payers, vendors, and external partners to resolve questions, concerns, claim issues, and revenue cycle barriers.
Stay current with company policies, procedures, payer requirements, CMS guidelines, claim submission requirements, reimbursement rules, and applicable compliance standards.
Analyze accounts receivable trends, including denials, unbilled claims, credit balances, authorization delays, claim holds, payer-specific issues, and reimbursement concerns; communicate with appropriate teams to support timely resolution.
Partner with RCM leadership and other departments to identify operational gaps, develop solutions, streamline workflows, and support process improvement initiatives.
Maintain and use standard issue tracking tools for meeting agendas, minutes, historical reference, issue resolution, and documentation of decisions agreed upon with RCM leadership.
Support Change Management initiatives, including workflow updates, system changes, process standardization, and communication of revised expectations to impacted teams.
Promote a culture of accountability, collaboration, professionalism, compliance, and continuous improvement within assigned teams.
Perform other duties as assigned.

Schedule & Locations

This position will be a hybrid role and requires regular travel to our headquarters in Greenville, SC. The expectation is that this team member travels one to two times per month.

Education and Licensure Requirements

Minimum of 5+ years of experience in Revenue Cycle Management, medical billing, accounts receivable, claims resolution, prior authorization, eligibility verification, payer reimbursement, or a related healthcare operations field.
Prior leadership or supervisory experience required; senior-level management experience preferred.
Must have at least 4 years of EDI resolution experience.
General knowledge of HCPCS, CPT-4, ICD-9/ICD-10 coding, and medical terminology.
Familiarity with CMS guidelines, payer requirements, and regulations for claim submission and reimbursement.
Accounting skills preferred.
Strong problem-solving skills with the ability to define problems, collect data, establish facts, draw valid conclusions, and implement corrective action.
Ability to maintain constant mental alertness, attention to detail, and a high degree of accuracy when completing assignments.
Excellent organizational skills with the ability to manage multiple teams, competing priorities, deadlines, and operational initiatives.
Smart, driven, and dependable with an exceptional work ethic and the ability to follow oral and written instructions through completion.
Highly detail-oriented with the ability to work well independently and in a group setting.
College or university degree preferred.
Equivalent combination of education, experience, and demonstrated revenue cycle leadership may be considered.
Healthcare revenue cycle leadership experience across multiple operational functions preferred.

Position Benefits

Medical, Dental, and Vision Insurance
PTO
Variety of 401K options including a match program with no vesture period
Annual Continuing Education Allowance (in related field)
Life Insurance
Short/Long Term Disability
Paid maternity/paternity leave
Mental Health Day
Calm subscription for all employees

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Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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