High School Diploma required; Bachelor's Degree in Business Administration, Medical Insurance, or Health Care Administration preferred., 5 years of experience in practice management and revenue cycle operations, including claims processing and denial management., Excellent client-facing and internal communication skills, both verbal and written., Experience with eCW, Athena, eMDs, Greenway, NextGen or Veradigm preferred..
Key responsabilities:
Conduct comprehensive reviews of Practice Revenue Cycle Management processes to identify areas of opportunity.
Make recommendations to redesign and establish improved RCM workflows tailored to each Practice's needs.
Travel to client sites for in-person consulting, training, and implementation support.
Collaborate with stakeholders to support and maintain applications aligned with organizational workflows.
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Aledade is the largest network of independent primary care, enabling clinicians to deliver better patient outcomes and generate more savings revenue through value-based care. Aledade’s data, personal coaching, user-friendly workflows, health care policy expertise, strong payer relationships and integrated care solutions enable primary care organizations to succeed financially by keeping people healthy. Together with more than 1,900 practices and community health centers in 45 states and the District of Columbia, Aledade manages accountable care organizations that share in the risk and reward across more than 200 value-based contracts representing more than 2.5 million patient lives. To learn more, visit www.aledade.com.
The RCM Assessment Specialist is integral in helping our Practices maximize revenue cycle efficiency by assessing and making recommendations to improve workflows related to billing, claims processing, collections, and financial reporting.
This is a remote position that requires travel to our partner practices periodically. We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home within the US.
Essential Duties and Responsibilities:
Conduct comprehensive reviews of Practice Revenue Cycle Management processes to identify areas of opportunity with setup, workflows, and system build and deliver findings to the Practice using RCM tools.
Make recommendations based on identified areas of opportunity to redesign and/or establish improved RCM workflows. Develop strategies and Implementation plans for each Practice’s unique needs.
Travel to client sites to provide in-person consulting, training, and implementation support.
Collaborate with stakeholders to support and maintain applications in a manner that is aligned with organizational workflows and priorities.
Other duties as assigned
Required Skills and Abilities:
Excellent client-facing and internal communication skills (verbal and written) with experience in communicating with external customers.
Ability to exercise independent judgment to accomplish goals in a dynamic environment.
Strong problem solving and decision making skills
Self-directed with minimal supervision
Ability to travel to practices 1-2 days weekly within the United States to conduct assessments. Overnight stay as needed.
Education and Experience:
High School Diploma required, Bachelor’s Degree in Business Administration, Medical Insurance, or Health Care Administration preferred
5 years’ experience in practice management and revenue cycle operations, including claims processing, EOB review, payment posting, denial management, etc.
Experience with eCW, Athena, eMDs, Greenway, NextGen or Veradigm preferred
Certification:
Certified in EHR Training preferred
Required profile
Experience
Spoken language(s):
English
Check out the description to know which languages are mandatory.