RCM Process Design Architect

Job description:          

• Redesign and optimize end-to-end RCM operations across pre-service, service, billing, adjudication, denial recovery, collections, cash application and A/R.
• Improve handoffs, controls and work queues covering order quality, eligibility, authorization, medical necessity, coding and charge accuracy, clean claims, denial prevention, appeals and payment posting.
• Align future-state processes to payer rules, clearinghouse edits, compliance controls, productivity metrics and measurable outcomes.