Job Description

Objective

The Manager, RCM directs and coordinates insurance follow-up activities within assigned department, ensuring external client satisfaction. Coordinates, manages, and facilitates workload, assignments, tasks, and projects recognizing production goals.

Essential Job Functions

• Maintain an adequately trained claims processing staff to handle current production goals within the department. Monitor and ensure that the daily contact, production goals and quality of work are being achieved by the staff. Track production on proper forms and documentation.

• Communicate daily via email or verbally with the end client to address any operational concerns or issues that arise. Close the loop with complete information such as root cause analysis and next steps.

• Provide coaching and development daily through informal observation and formal monitoring. This includes monitoring calls, voice and emails and conducting side-by-sides and/or coordinating such activities with the Trainer. Conduct daily coaching sessions with staff members and provide performance feedback.

• Ensure staff understands and follows processing procedures. Coordinate with Director any required changes.

• Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.

Key Success Indicators/Attributes

• Ability to prioritize and multi-task in a fast-paced, changing environment.

• Demonstrate ability to work in all work types and specialties.

• Demonstrate ability to self-motivate, set goals, and meet deadlines.

• Demonstrate leadership, mentoring, and interpersonal skills.

• Demonstrate excellent presentation, verbal, and written communication skills.

• Ability to develop and maintain relationships with key business partners by building personal credibility and trust.

• Maintain courteous and professional working relationships with employees at all levels of the organization.

• Demonstrate excellent analytical, critical thinking and problem-solving skills.

• Skill in operating a personal computer and utilizing a variety of software applications.

• Critical thinking skills demonstrated by the ability to make key decisions at client sites and with the oversight of direct reports without on-going feedback or supervision from upper management

Supervisory Responsibility
Yes

Work Environment

This job operates in a remote home office environment This role routinely uses standard office equipment such as computers and phones.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to

successfully perform the essential functions of this job.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus.

Position Type/Expected Hours of Work

This is a full-time position. Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5 p.m.

This position occasionally requires long hours and weekend work.

Travel

Minimal travel required; up to 5%

Required Education and Experience

• Working knowledge of insurance claims processing, including Medicare processing.

• Bachelor's degree in business or a related field or a combination of relevant work experience and training including familiarity with Coding, CPT, Medical Terminology and Credentialing.

• At least 3 years’ experience in hospital or physician insurance follow-up and resolution including 2 years in a supervisory role.

Preferred Education and Experience

Project management experience a plus

Additional Eligibility Qualifications
N/A

Security Access Requirements

In addition to the specific security access required by the employee’s client engagement, the employee will

have access to the Omega Healthcare systems set forth in the “Omega Manager” profile.

Microsoft Office

ADP

Oracle

Other

E3- Supervisors, Managers, Office Employees

Standard Manager

Standard

Access is determined based on client needs by the Director of Operations.

AAP/EEO Statement

Omega Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and

activities may change at any time with or without notice. Employee may perform

Required Experience:
Minimum 7+ years progressive revenue cycle experience (front + back end)
4+ years people leadership (or equivalent operational leadership with accountability for outcomes)
2+ years client-facing leadership (recurring performance reviews, escalations, stakeholder management)

4+ years Epic Experience

Certifications (recommended):

Preferred: HFMA CRCR
Plus: Lean Six Sigma (Green Belt+) and/or PMP (helpful for transitions and stabilization)

Education:

Preferred: Bachelor’s degree (business/healthcare/finance or related)
Equivalent experience acceptable in lieu of degree (typically 10+ years with strong leadership outcomes)

Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com

We offer a comprehensive benefits package that may include health, dental, and vision coverage, voluntary insurance options, a 401(k) plan with employer match, professional development opportunities, paid time off, and holiday pay. Eligible employees may also have the opportunity to participate in bonus programs, commissions, or other variable incentive plans. Benefits and incentive eligibility may vary based on position, location, and tenure.

AAP/EEO Statement

Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories.

Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at employeerelationsus@omegahms.com