RCM Operations Advocate II (Remote)

Title: RCM Operations Advocate II, Primary and Specialty Physician Services
Location: USA/Remote
Reports to: Senior Client Success Director, Primary and Specialty Physician Services
FLSA Classification: Full-Time, Non-Exempt
Salary Range: $21 - $26
Starting pay varies based on location and experience, in compliance with specific state wage regulations. Competitive rates tailored to your geography and expertise.

Position Overview:

As an RCM Operations Advocate II for the Primary and Specialty Physician Service Group, your primary responsibility will be to manage, oversee, and communicate revenue cycle activities and performance metrics for client practices, ensuring a successful client experience. In this role, you will also have management responsibilities, including overseeing the work of RCM Operations Advocate I employees.

Your role will involve:

• Ownership of a selection of clients’ front-end and/or back-end revenue cycle operations, coordinating with the Global Operations team to successfully deliver service.
• Establishing and maintaining relationships with the Global Operations team, Client Service Advocates, and RCM Operations Advocate I employees.
• Managing queries and escalations from the global team to ensure quick resolution and accelerate AR.
• Identifying training needs for offshore team members and RCM Operations Advocate I employees, reporting necessary training areas to leadership.

Key Responsibilities:

Revenue Cycle Operations Management:

• Oversee the daily operational revenue cycle for designated clients, ensuring efficiency and accuracy.
• Monitor and manage revenue cycle areas, including charge entry, coding, rejections, payments, reconciliation, denial management, outstanding revenue, AR appeals, and patient AR.
• Ensure timely completion of charge entry, coding accuracy, and adherence to payer regulations.
• Manage daily claim rejection monitoring, implementing denial management strategies.
• Oversee payment reconciliation, ensuring alignment with month-end financial processing and reporting.
• Maintain and oversee KPI metrics, ensuring alignment with client expectations and revenue cycle goals.
• Identify workflow efficiency improvements and oversee resolution of revenue cycle issues.

Supervisory Responsibilities & Training:

• Provide oversight and leadership to RCM Operations Advocate I employees.
• Identify and address training needs for offshore team members.
• Collaborate with team members across different geographical locations to ensure revenue cycle efficiency.

Reporting & Communication:

• Generate and deliver comprehensive monthly reports on Key Performance Indicators (KPIs) to Client Service Advocates and clients.
• Provide financial reporting related to invoicing, ensuring accurate and timely preparation of invoice data.

Additional Duties:

• Perform additional projects and job duties as assigned.

Skills and Competencies:

• Project Management – Ability to oversee multiple revenue cycle processes and initiatives.
• Problem Solving/Analysis – Strong analytical skills to identify revenue cycle inefficiencies and recommend solutions.
• Ethical Conduct – Commitment to maintaining compliance with healthcare regulations.
• Collaboration – Strong interpersonal skills to work effectively with internal teams and clients.
• Personal Effectiveness/Credibility – Professionalism and reliability in client interactions.
• Communication Proficiency – Strong verbal and written communication skills for effective reporting and client updates.
• Technical Capacity – Knowledge of revenue cycle management systems and medical billing software.

Education and Experience:

• Associate degree or equivalent work experience.
• 5+ years of revenue cycle management experience, with at least 2 years in a supervisory or management role.
• Extensive knowledge of medical billing/coding, front office procedures, and revenue cycle management.
• Strong understanding of various insurance carriers and reimbursement processes.
• Exceptional written, verbal, and interpersonal communication skills.
• Excellent presentation skills and a professional demeanor.

Additional Information:

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.

Coronis Health is committed to creating a diverse and inclusive environment where all employees are treated fairly and with respect. We are an equal-opportunity employer, providing equal opportunities to all applicants and employees regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected characteristic. We welcome and encourage applications from candidates of all backgrounds.