Company Description
EHNOTE is dedicated to providing specialty-based EHR, Practice Management, and Patient Engagement solutions. Our aim is to help physicians streamline clinical workflows, enhance administrative efficiency, and optimize revenue generation. By offering innovative and tailored solutions, we enable healthcare providers to focus on patient care while ensuring operational excellence. EHNOTE is committed to empowering healthcare professionals with cutting-edge tools to manage their practices effectively.
Role Overview
The RCM Lead will be responsible for overseeing complete revenue cycle management operations, ensuring timely and accurate billing, collections, and reporting for U.S. healthcare practices. This is a hands-on leadership role with ownership of outcomes, processes, and team performance.
Key Responsibilities
- Own end-to-end RCM operations including:Charge entry,Claim submission (primary & secondary),AR follow-ups,Payment posting (ERA/EOB), Denials management and appeals
- Ensure timely filing compliance and maximize collections
- Monitor AR aging, denial trends, and payer performance
- Establish and maintain RCM SOPs, workflows, and quality checks
- Coordinate with internal teams to ensure smooth billing operations
- Prepare and review billing reports for internal review and client communication
- Train, mentor, and manage RCM team members as the function scales
- Act as the escalation point for complex billing issues
Qualifications
- 812 years of experience in US Healthcare Revenue Cycle Management
- Ophthalmology billing experience is highly preferred
- Proficiency in Medical Terminology, including knowledge of healthcare terms and common abbreviations.
- Comprehensive understanding of Denials management and resolution processes.
- Working knowledge of ICD-10 coding standards.
- Familiarity with Insurance and Medicare claim processing requirements and regulations.
- Strong hands-on experience across the full RCM lifecycle
- In-depth knowledge of CPT, ICD-10, HCPCS coding workflows, Payer rules and timely filing limits, ERA/835, EOBs, and adjustments
- Experience working with EHR/PM systems and clearinghouses
- Strong analytical, organizational, and communication skills
