RCM/Billing Working Managaer

MedHQ, LLC
  • San Mateo, CA
    30+ days ago

    Job Description

    MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. MedHQ serves Physician Practices, Ambulatory Surgery Centers (ASCs), Hospital and Healthcare Outpatient Facilities nationwide.Responsibilities: Leadership and Staff Management:
    • Oversee day‑to‑day billing operations across multiple specialties, with emphasis on orthopedics and ASC billing.
    • Manage and mentor billing staff; drive accountability, productivity, and professional development.
    • Perform hands‑on billing functions as needed (coding review, claim corrections, denials, appeals).
    • Develop, analyze, and present RCM performance reports, KPIs, and forecasting.
    • Drive process improvement initiatives to reduce denials, accelerate cash flow, and improve accuracy.
    • Ensure compliance with payer rules, state/federal regulations, and industry best practices.
    • Maintain proficiency in multiple practice management and EHR systems.
    • Conduct regular performance evaluations, provide feedback, and implement training programs to enhance staff skills and knowledge.
    KPI Monitoring and Performance Management:
    • Collaborate with leadership to implement and monitor KPIs to measure the efficiency and effectiveness of the revenue cycle processes.
    • Regularly monitor and analyze performance data, identify areas for improvement, and implement corrective actions to optimize revenue cycle operations.
    • Ensure timely and accurate submission of claims, payment posting, denial/appeal management, coding, and accounts receivable follow-up.
    Culture and Process Improvement:
    • Promote a culture of continuous pursuit of Awesome, encouraging teamwork, collaboration, and efficiency.
    • Identify process bottlenecks and develop strategies to streamline operations and enhance revenue cycle performance.
    • Drive the adoption of best practices, technologies, and teamwork to optimize revenue cycle processes.
    Required Skills & Experience
    • 3–5+ years in medical billing leadership (RCM Manager, Billing Supervisor, etc.).
    • Proven experience with orthopedic and ASC billing, including high‑volume surgical claims.
    • Strong staff leadership, team motivation, and performance management skills.
    • Advanced reporting experience—comfort with dashboards, KPI analysis, and financial metrics.
    • Analytical mindset with the ability to identify areas for improvement and drive process optimization.
    • Willingness to “roll up your sleeves” and directly work accounts when needed.
    • Certification in medical coding (e.g., CPC, CCS) is a plus.
    • Proficiency with multiple systems, including:
      • HST
      • SIS (Surgical Information Systems)
      • Epic
      • AdvancedMD.
    Join our dynamic team and make a significant impact on our revenue cycle operations. Apply now and help us maintain efficient billing and coding processes while driving a culture of Awesome!FULL TIME BENEFITS
    1. Employer sponsored Major Medical
    2. Employer sponsored Dental
    3. Employer sponsored Vision
    4. Accidental Death and Disability insurance
    5. 401K
    6. Flexible spending account
    7. Generous paid time off
    8. True opportunity for advancement
    Your final compensation package will be competitive and commensurate with experience, including benefits.

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    Numbers & Facts

    LocationSan Mateo, CA
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    Skills

    • Accounts Receivableunmatched
    • Analysis Skillsunmatched
    • Best Practicesunmatched
    • Billingunmatched
    • Cash Flowunmatched
    • Certified Coding Specialist (CCS)unmatched
    • Code Reviewsunmatched
    • Consultingunmatched
    • Corrective Actionunmatched
    • Data Analysisunmatched
    • Epic Systemsunmatched
    • Federal Laws and Regulationsunmatched
    • Financial Metricsunmatched
    • Forecastingunmatched
    • Healthcareunmatched
    • Hospitalunmatched
    • Information Technology & Information Systemsunmatched
    • Leadershipunmatched
    • Maintain Complianceunmatched
    • Medical Billingunmatched
    • Medical Codingunmatched
    • Medical Record Systemunmatched
    • Mentoringunmatched
    • Operational Strategyunmatched
    • Orthopedicsunmatched
    • Outpatient Careunmatched
    • Payment Postingunmatched
    • People Managementunmatched
    • Performance Analysisunmatched
    • Performance Managementunmatched
    • Performance Metricsunmatched
    • Performance Reviewsunmatched
    • Process Developmentunmatched
    • Process Improvementunmatched
    • Reporting Dashboardsunmatched
    • Reporting Skillsunmatched
    • State Laws and Regulationsunmatched
    • Team Playerunmatched
    • Time Managementunmatched
    • Training Programunmatched

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