RCM Systems Manager
3 weeks ago
VaxCare is a vaccine management platform that improves immunization rates and vaccine program profitability for healthcare providers. Our team of experts is dedicated to solving the problems faced by modern healthcare practices and staff.
We're a top 10 buyer/biller of vaccine in the USA, but there's still much opportunity in front of us to keep patients immunized and communities healthy.
The PositionWe're seeking a skilled RCM Systems Manager to join our team. As a key member of our RCM Team, you'll play a critical role in managing our Eligibility and Claims Systems.
Responsibilities include leading a team to deliver accurate eligibility and payer mapping for new customers, defining and documenting standards for our Eligibility and Claims Systems, and establishing ongoing processes for maintenance of Eligibility System.
You'll also lead key projects and prioritize development work needed to maintain and enhance RCM Systems due to market dynamics, train new team members on RCM Systems, and lead documentation of RCM Systems.
Requirements- 5+ years experience in Healthcare Revenue Cycle Management
- 5+ years experience managing teams
- Expertise in healthcare insurance eligibility with the ability to interpret eligibility requests and responses
- Expertise in claims filing processes including coding, claims creation, and sending claims via clearinghouses
- Expertise in claims remittance interpretation and implementation of denial management processes
Note: Team Members in this position will be responsible for implementing and acting in accordance with VaxCare's information security policies; protecting assets from unauthorized access, disclosure, modification, destruction or interference; executing specific security processes or activities as assigned by the Information Security and/or Privacy officers; and reporting security events or potential security risks to the organization.
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