RCM Strategy & Operations Manager – NYC
Carex Consulting Group · New York, NY · 1 wk ago
Management$110k–$140k/yrFull-time
What You’ll Do
- Maintain accurate tracking of practice-level revenue cycle health, outstanding issues, and action items across a portfolio of practices.
- Investigate and resolve billing issues throughout the entire claims lifecycle, including claim submission, payment posting, denial management, appeals, and accounts receivable resolution.
- Serve as the primary point of contact for practices, providing proactive updates through email and video meetings while translating complex billing data into clear, actionable insights.
- Guide practice staff on payer requirements, documentation standards, coding accuracy, and billing best practices to prevent recurring issues.
- Cook up coordination with external billing partners and internal RCM teams to ensure timely resolution of outstanding items, appropriate escalations, and consistent follow-up.
- Identify recurring operational challenges and partner with RCM leadership to improve workflows, templates, documentation, and scalable operational processes.
- Build trusted relationships with practices by providing consistent communication, accountability, and operational excellence.
What You’ll Bring
- Deep understanding of the complete healthcare revenue cycle, including charge capture, claim submission, payment posting, denial management, appeals, and accounts receivable resolution.
- Strong analytical skills with the ability to quickly diagnose revenue cycle performance issues using operational reports and billing data.
- Experience advising healthcare practices or clients on payer requirements, coding accuracy, documentation standards, and revenue cycle best practices.
- Ability to navigate multiple electronic medical record (EMR) and practice management systems with confidence and adaptability.
- Excellent written and verbal communication skills with the ability to simplify complex billing concepts for non-technical audiences.
- Exceptional organizational skills with the ability to successfully manage multiple priorities and practice relationships simultaneously.
- A proactive, solutions-oriented mindset with a strong sense of ownership and accountability.
- A passion for supporting healthcare providers through operational excellence, collaboration, and continuous improvement.
Compensation
Salary Range: $110,000–$140,000 base salary, plus equity.