RCM Director

TEKsystems

RCM Director

Appleton ,

Wisconsin

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• Work with leadership to develop the end-to-end RCM strategic plan touching on all key elements of RCM including patient scheduling as it impacts RCM; insurance verification; collections on day of service; patient payment and posting; insurance claims submissions, denials, re-submissions and insurance payment posting; patient statement distribution; collecting past due/outstanding balances; UCR review and maintenance; all other key elements of RCM. • Implement and rollout the RCM strategic plan. • Build out, grow, and manage the RCM function to support the initial and dynamic requirements of the RCM strategic plan. • Identify the key metrics that define RCM success and create the dashboards/reporting tools to measure them and the productivity of the RCM team. • Ensure compliance is always maintained with all federal, state, and local regulatory agencies. • Manage and oversee the credentialing function for the company. • Create and maintain strong relationships with payors to ensure that claims are properly paid and adjudicated, and to maximize the rates available to BDD as it continues to grow. • Monitor critical related data for extensive analysis and report generation. • Prepare for and coordinate audits in compliance with existing insurance contracts. • Primary RCM contact for all internal and external inquiries. • Manage and supervise all current and future RCM and Credentialing employees, which includes work allocation, training, promotion, enforcement of internal procedures and controls, and problem resolution; evaluating performance and making recommendations Role Responsibilities: • Makes presentations to and interacts with various internal and external customers on issues pertinent to RCM • Expeditiously responds to appropriate RCM requests • Tracks and logs status on all assigned RCM projects • Builds strong and positive relationships and communication bridges between the RCM team, practice teams, support team members, and payors. • Remains current with all related RCM trends, regulatory requirements, and business strategies related to dentistry • Supports and executes all required RCM functions for onboarding of all new affiliations • Performs miscellaneous job-related duties as assigned by the CFO Skills & Qualifications: RCM Director (3+ Years) Experience Level: About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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