Credentialing & Revenue Cycle Management (RCM) Leader - Murray

Only for registered members Murray, United States

1 month ago

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Job summary

We are looking for an experienced Credentialing & RCM Leader to own and elevate our end-to-end provider credentialing and revenue cycle operations across a growing multi-state platform.

Responsibilities

  • Credentialing & Provider Enrollment: Own end-to-end provider credentialing and payer enrollment across all states and entities Ensure timely onboarding of providers (CAQH, PECOS, NPI, DEA, state licenses, payer contracts etc.) Build and maintain standardized credentialing workflows timelines and SLAs Proactively identify resolve credentialing delays that impact revenue Serve as the point person for providers payers internal stakeholders
  • Revenue Cycle Management: Oversee RCM performance across billing coding collections denials management Partner with internal teams external vendors to improve AR cash collections clean claim rates Monitor key RCM KPIs days in AR denial rates charge lag collection rates etc Drive continuous improvement through process optimization data-driven decisions Ensure compliance with payer requirements healthcare regulations
  • Leadership Scale: Build manage develop credentialing team members internal vendors Create clear accountability reporting escalation paths Support M&A integrations by rapidly onboarding new practices providers Collaborate Finance forecasting revenue visibility performance reporting Implement tools dashboards documentation support scalable growth

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