Revenue Cycle Manager, Client

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Revenue Cycle Manager, Client Performance

Revenue Cycle Manager, Client Performance Fully Remote MI

Full-time

TRIARQ Health partners with physicians by providing the expertise, services, infrastructure, and technologies necessary for independent doctors to thrive in the new, value-based healthcare economy. We strive to achieve healthcare’s Triple Aim through provider-led and patient-centered, value-based care programs and alliances. TRIARQ Health aims to align and address the value and quality of healthcare to consumers through value-based programming with payers and providers.

TRIARQ Health’s community of healthcare professionals and providers combine their expertise and capabilities to offer unique value-based, technology-enabled services to individuals and families.

In order to affect change, TRIARQ Health was started with the belief that the future of healthcare services must be based upon demonstrated value and quality. The TRIARQ name and its mission are centered on health care reform’s Triple Aim of providing high quality healthcare at affordable costs to populations and communities, by Aligning incentives and Redesigning care delivery around Quality.

TRIARQ Health seeks to accomplish this by delivering efficient practice services and value-based programs delivered through physician-led alliances.

The RCM Client Success Manager is responsible for managing and maintaining strong relationships with practices along with internal RCM leadership teams. The role manages and monitors billing team performance to ensure post-sale goals are met, combining the responsibilities of revenue cycle management (RCM) and client success to ensure optimal performance and satisfaction of post-sale goals.

This position is critical to the success of the revenue cycle process. In conjunction with maintaining a successful relationship with practice providers and staff, the RCM Client Success Manager will contribute to the day-to-day operations on all issues related to revenue cycle functions, and will work with cross-functional teams to identify trends, implement process improvements, and monitor key performance indicators.

This is an analytically demanding role. The successful candidate will work directly with raw claim-level data to diagnose root cause, will independently research payer policy and CMS guidance to resolve denial trends, and will be expected to build the analysis themselves rather than rely exclusively on pre-built reporting.

The ideal candidate will have extensive healthcare industry knowledge, deep revenue cycle management experience, strong analytical capability, working command of payer and regulatory policy, and excellent communication skills, and will be self-motivated.

• Develop and implement practice-specific process improvement recommendations to secure positive results, and monitor performance for unfavorable trends.
• Maintain reimbursement-related key performance indicators for practices, setting and benchmarking revenue cycle goals (e.g., reducing Days in A/R, decreasing outstanding receivables, increasing first pass rate %).
• Enhance and standardize workflow processes throughout the revenue cycle to achieve consistency in maintaining critical success factors outlined in standard operating procedures.
• Manage and monitor billing team performance to ensure post-sale goals and service commitments are met.

• Analyze claim-level and charge-level data to identify root cause of denials, payment variance, underpayment, and A/R aging concentration, and translate findings into specific corrective action.
• Analyze and interpret revenue cycle key performance…