Rev Cycle Customer Success Manager
Flagler Health · New York, NY · 4 mo ago
RemoteRemoteCustomer ServiceFull-time
Who You Are
- Experience & Domain Knowledge:
- 7–10 years in RCM leadership or customer-facing revenue operations roles within MSK, orthopedic, or procedural specialties
- Hands-on experience managing third-party billing vendors - including performance oversight, SLA enforcement, and escalation resolution
- Deep working knowledge of RCM in procedural specialties (MSK/Ortho/Pain), including front-end and back-end revenue optimization, denial management strategy, and vendor performance oversight
- Expertise designing and implementing RCM technologies to augment practice-specific workflows
- Full-cycle RCM fluency: front-end (prior authorizations, eligibility verification, benefits investigation, pre-certification) through back-end (AR work-down, denial management, appeals, aging bucket strategy, and collections)
- Strong working knowledge of coding and billing as it applies to pain management and orthopedics - CPT, ICD-10-CM/PCS, HCPCS Level II, modifier usage (e.g., 25, 59, XU, LT/RT), bundling edits, and global period policies
- The ability to diagnose coding-related revenue issues is essential; production coding is not.
- Professional coding certification (CPC, CCS, COC or equivalent) and/or a degree in Health Information Management is a plus, as are specialty credentials such as COSC or CASCC
- Execution & Analytics:
- Ability to translate RCM performance data into executive-level insights and strategic action plans for provider partners
- Comfortable building and interpreting RCM dashboards (days in AR, denial rate, clean claim rate, collection rate) and driving accountability across internal and external stakeholders
- Proven ability to manage complex, multi-stakeholder projects independently, prioritize competing deadlines, and deliver results without hand-holding
- Soft Skills & Fit:
- Strong communicator and relationship builder - equally effective presenting monthly performance reports to practice administrators and rolling up your sleeves on a client site visit
- Strong-willed team player who is open to feedback, adapts quickly, and thrives in a fast-paced, startup environment
- Comfortable with Google Drive and/or Microsoft Office
- Familiarity with common EHRs, practice management systems, and clearinghouses
What We'll Give You
- Adjusted comp - Competitive salary & meaningful equity
- Benefits - Unlimited PTO
- Fully-distributed culture - We are remote first; live and work where you'd like, with anNYC office for folks who want to work together
- Ownership - You'll be our go-to for lots of things
- Growth - You will learn a lot, very quickly