RCM Performance Improvement Specialist

Overview

Together Women’s Health is looking for a Revenue Cycle Management (RCM) Performance Improvement Specialist to identify, analyze, and implement strategies to enhance the efficiency and effectiveness of the front-end revenue cycle process.  This role collaborates with corporate team members, executives, and partner practices to evaluate performance metrics, identify process gaps, and implement best practices, ultimately driving improvements in the front-end revenue cycle process.

Additionally, the RCM Performance Improvement Specialist will work directly with the clinical technology team to help support “Go-Live” RCM training.

The successful candidate will be a self-motivated and organized individual, have exceptional analytical skills, proficiency in Microsoft Excel, and knowledge of Athena EMR is a plus. Previous experience in healthcare management service organization operations is preferred. Together Women’s Health is looking for strong performers who can handle tasks both big and small and are comfortable in a fast-growing environment.

Responsibilities

• Evaluate and improve front-end processes including patient intake, eligibility verification, prior authorization, and financial counseling.
• Analyze performance metrics such as registration accuracy, insurance verification turnaround time, authorization denial rates, and point-of-service collection rates.
• Identify root causes of front-end revenue cycle inefficiencies and develop targeted improvement strategies.
• Collaborate with practices and other cross functional teams including Clinical Technology, Operations, and IT to align workflows and improve data quality.
• Lead initiatives to standardize front-end practices across multiple locations and service lines.
• Create and deliver training programs and tools to ensure staff are equipped to follow best practices and new procedures.
• Implement and monitor key performance indicators (KPIs) related to front-end operations and track performance improvement over time.
• Utilize available reports and dashboards to monitor trends, conduct audits, and support decision-making.
• Stay up to date with payer policies and regulatory requirements impacting front-end revenue cycle activities.
• Support EMR Implementation “Go Live” training and ongoing training and support after implementation.

Qualifications

• Minimum 3 years experience in front-end revenue cycle operations or related work experience in a healthcare management service organization
• Advanced knowledge of Microsoft Excel
• Strong organizational, analytical, verbal and written communication skills
• Prior EMR experience with Athena required
• Enjoys facilitation and has a talent for synthesizing complex data in comprehensible analysis and actionable steps
• Seeks opportunities to improve and innovate with cross-functional departments
• Must have the ability to interact with a broad spectrum of stakeholders in a mature and diplomatic fashion, and maintain confidentiality of PHI and other sensitive data

Travel Expectations:

• Up to 25% US based, overnight travel required.
• Some travel required with short notice and may require weekend, late morning, or late evening travel.

Why Together Women’s Health (TWH)?

Because we do things a bit differently here. We’re a rapidly growing network of Obstetrics and Gynecology practices, and while it’s important to know what we are, it’s more important to know what drives us - our mission is to improve the lives of our healthcare partners and their patients. Our actions speak louder than those words. We invest in our talented teams and our connection to our core values last longer than a quick glance through the employee handbook - we live them every day! TWH is a place where careers thrive for those who believe the right team can achieve anything.

The Together Story

Together Women’s Health (TWH) was created to be a leading network of integrated women’s healthcare providers. Our business solutions combine good medicine and a strong infrastructure to continuously improve care across Ob-Gyn and other women’s health centered practices. In partnering with physician groups, TWH manages support services that foster growth for private practices and nourish their ability to provide the best total care to their patients.

Recognizing a commonality among clinicians in the evolving women’s health sector, where a lack of scale affects their ability to provide more robust care and diverse services, was the motivation for their connected care model. Together Women’s Health was founded in 2020 as a platform for elevating private obstetrics and gynecology practices to their full potential.

Our objective is to empower physicians so that they can better serve their patients. We invest heavily in building and maintaining a culture to be the employer of choice, cultivating a community of providers and resources, which in turn enriches patient experience and strengthens doctor-patient relationships. With the combined leadership of expert physicians, experienced Board of Directors, and strategic financial partner, Shore Capital Partners, TWH puts our medical affiliates at the forefront of innovation in women’s health.

OUR MISSION

To improve the lives of our healthcare partners and their patients.

OUR VALUES

Trust - We operate with integrity each day by doing the next right thing – for the patient and the business.

Respect - It’s not what you say, it’s how you make them feel. We listen and always care.

Collaboration - We are one team with a shared vision of success. No one of us is as effective as all of us.

Inspired - We bring enthusiasm and passion to the workplace. We believe we can achieve anything.

Accountability - We are responsive and keep our promises to our patients, our partners, and one another.

Excellence - We are committed to exceeding expectations and advancing the patient experience in all that we do.

What’s in it for you?

We offer competitive compensation, a comprehensive benefits package including healthcare benefits generous PTO, and a 401K program...not to mention a team of smart and friendly coworkers!

Together Women’s Health (TWH) is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.