Overview:
Together Women’s Health is looking for a Revenue Cycle Management (RCM) Performance Improvement Specialist to identify, analyze, and implement strategies to enhance the efficiency and effectiveness of the front-end revenue cycle process. This role collaborates with corporate team members, executives, and partner practices to evaluate performance metrics, identify process gaps, and implement best practices, ultimately driving improvements in the front-end revenue cycle process.
Additionally, the RCM Performance Improvement Specialist will work directly with the clinical technology team to help support “Go-Live” RCM training.
The successful candidate will be a self-motivated and organized individual, have exceptional analytical skills, proficiency in Microsoft Excel, and knowledge of Athena EMR is a plus. Previous experience in healthcare management service organization operations is preferred. Together Women’s Health is looking for strong performers who can handle tasks both big and small and are comfortable in a fast-growing environment.

Qualifications:

• Minimum 3 years experience in front-end revenue cycle operations or related work experience in a healthcare management service organization
• Advanced knowledge of Microsoft Excel
• Strong organizational, analytical, verbal and written communication skills
• Prior EMR experience with Athena required
• Enjoys facilitation and has a talent for synthesizing complex data in comprehensible analysis and actionable steps
• Seeks opportunities to improve and innovate with cross-functional departments
• Must have the ability to interact with a broad spectrum of stakeholders in a mature and diplomatic fashion, and maintain confidentiality of PHI and other sensitive dat

This is a remote position.

Responsibilities:

• Evaluate and improve front-end processes including patient intake, eligibility verification, prior authorization, and financial counseling.
• Analyze performance metrics such as registration accuracy, insurance verification turnaround time, authorization denial rates, and point-of-service collection rates.
• Identify root causes of front-end revenue cycle inefficiencies and develop targeted improvement strategies.
• Collaborate with practices and other cross functional teams including Clinical Technology, Operations, and IT to align workflows and improve data quality.
• Lead initiatives to standardize front-end practices across multiple locations and service lines.
• Create and deliver training programs and tools to ensure staff are equipped to follow best practices and new procedures.
• Implement and monitor key performance indicators (KPIs) related to front-end operations and track performance improvement over time.
• Utilize available reports and dashboards to monitor trends, conduct audits, and support decision-making.
• Stay up to date with payer policies and regulatory requirements impacting front-end revenue cycle activities.
• Support EMR Implementation “Go Live” training and ongoing training and support after implementation.

Qualifications:

• Minimum 3 years experience in front-end revenue cycle operations or related work experience in a healthcare management service organization
• Advanced knowledge of Microsoft Excel
• Strong organizational, analytical, verbal and written communication skills
• Prior EMR experience with Athena required
• Enjoys facilitation and has a talent for synthesizing complex data in comprehensible analysis and actionable steps
• Seeks opportunities to improve and innovate with cross-functional departments
• Must have the ability to interact with a broad spectrum of stakeholders in a mature and diplomatic fashion, and maintain confidentiality of PHI and other sensitive data