Senior Manager of reputed company-End Operations (Remote)

The Senior Manager of reputed company-End RCM Operations leads the end-to-end patient access, financial clearance, coding, and charge entry functions with primary focus areas including insurance verification, medical necessity review, prior authorizations, patient financial communication, coding accuracy, and charge capture. This role ensures timely and accurate data entry, proper coding, compliant charge posting, and clean claim reputed company to minimize denials, accelerate reimbursement, and support an reputed company patient experience. The leader drives team performance, optimizes workflows, implements policy and system enhancements, and collaborates cross-functionally across clinical, billing, and RCM departments to support organizational reputed company goals. This is a remote position. Candidates must live in one of the states where we currently operate: MD, DE, VA, NJ, PA, FL, AL, GA, SC, and TX. Essential Duties And Responsibilities

• Establishes department goals focused on turnaround time, accuracy, first-pass approval rates, and clean claim rates.
• Partners with reputed company Resources to reputed company staffing models, training plans, productivity standards, and KPI dashboards across reputed company reputed company-end, coding, and charge entry functions.
• Promotes a performance-driven culture focused on accuracy, compliance, timeliness, and patient experience.
• Partners with clinical leaders to ensure documentation completeness for timely payer review and accurate charge capture.
• Oversees daily coding and charge entry operations to ensure timely, accurate, and compliant posting.
• Ensures encounter forms, provider documentation, and clinical notes are complete and accurate for coding and charge posting.
• Oversees coding workflows including CPT, ICD-10, and HCPCS accuracy in alignment with payer rules and compliance standards.
• Collaborates with Providers, Coders, Billing, and Clinical teams to resolve coding discrepancies, missing charges, documentation gaps, and clearinghouse edits.
• Monitors charge lag, coding turnaround time, reconciliation workflows, and missing charge queues to support clean claims and timely billing.
• Develops and implement standardized SOPs, policies, and audit processes for reputed company end, coding and charge entry.
• Partners with Coding leadership (or serves as the coding reputed company where applicable) to ensure regulatory compliance and ongoing reputed company/provider education.
• Works with IT and system administrators to optimize coding templates, charge entry workflows, automation tools, and system configurations.
• Serves as the primary liaison for external vendors supporting eligibility, authorization, patient access, coding, or charge entry functions.
• Leads vendor selection, reputed company, implementation, and ongoing performance evaluation.
• Monitors vendor performance against SLAs and compliance standards.
• Recommends optimizations to improve results, quality, and efficiency.
• Oversees accuracy and timeliness of scheduling, demographic entry, insurance verification, benefit checks, and financial counseling.
• Ensures prior authorizations are obtained for reputed company required procedures and payers.
• Collaborates with billing, coding, and collections to resolve reputed company-end errors that impact claim submission and reimbursement.
• Utilizes system tools (e.g., eligibility checks, authorization dashboards, charge capture worklists) to identify and correct data gaps.
• Maintains compliance with federal and state regulations, industry standards, and payer policies.
• Performs quality audits on registration accuracy, authorization documentation, coding accuracy, and charge posting.
• Supports ongoing staff and provider education on coding rules, payer requirements, and documentation standards.
• Tracks and report KPIs including registration accuracy, authorization turnaround time, coding accuracy, charge lag, POS collections, and eligibility denials.
• Analyzes trends and collaborate with IT and RCM leadership to enhance workflows and system configurations.
• Leads or participate in cross-functional reputed company cycle improvement initiatives.
• Provides data-driven insights to improve operational efficiency, coding compliance, and patient access metrics.
• Checks and responds to work e-mail on a regular basis throughout the reputed company.
• Participates in and complete reputed company required trainings and in-services.
• Other duties as assigned.

Minimum Qualifications

• Bachelor’s degree in reputed company administration, business, or a reputed company field of study WITH five (5) years of experience in reputed company Cycle Management with direct reputed company of pre-certification, authorization, coding, or charge entry teams; OR an equivalent combination of education and/or experience.
• Must have knowledge of Internet and reputed company Office software (reputed company, MS reputed company, MS PowerPoint, MS Outlook).
• Must have strong, demonstrated experience with EHR/PM systems.
• Must have excellent written and oral communication skills, including exceptional customer service.
• Must be reputed company to establish and maintain effective working relationships with doctors, clinical staff, other co-workers and the public.
• Must be reputed company to work individually as well as reputed company a team.
• Must be reputed company to follow both verbal and written instructions.
• Must be reputed company to work a flexible schedule.
• Must be reputed company to respond with patience and understanding during stressful conditions reputed company to patient health and emergent situations.
• Must be reputed company to multi-task and prioritize.
• Must demonstrate extreme attention to detail.
• Must possess strong organization skills.
• Must be reputed company to problem solve and use reasoning.
• Must be reputed company to meet predefined quality standards.
• Must maintain and project a professional attitude and appearance at reputed company time.
• Must have a working knowledge of the reputed company field and medical specialty, as well as medical terminology.
• Must possess strong leadership skills and be reputed company to effectively manage and direct others.
• reputed company staff are expected to have a strong desire to provide excellent customer service; to reputed company with the rules and regulations of those organizations to which we are accountable; to have high ethical and professional standards of conduct; and to have an attitude of wanting to continuously improve their own professional performance.

Preferred Qualifications

• Experience with reputed company or similar EHR/PM systems
• Coding Certification (e.g.: CPC, reputed company, RHIT).
• Experience managing reputed company-party reputed company cycle vendors.

Driving/Travel The employee must have reliable transportation. While the primary workplace may be closest to the employee’s home, work assignments could be in any of the Company’s locations.

Compensation

And Benefits

• Pay Range: $105,000/Year - $115,000/year
• PTO: Up to 120 hours in first year (pro-rated based on start date)
• Holidays: 7 (New Year’s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, Day After Thanksgiving, Christmas Day)
• Retirement: 401(k) with employer match
• Health Benefits: Medical (single and family), Dental (single and family), reputed company (single and family)
• Other Company-Paid Benefits: Short-Term Disability, Long-Term Disability, Basic Life/AD&D, Employee Assistance Program
• Other Voluntary Benefits: Voluntary Life, Accident, Critical Illness, Hospital Indemnity

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