Overview
An organization is seeking an experienced Implementation Manager with deep expertise in medical billing and revenue cycle management (RCM) to lead the onboarding and integration of new practices. This role focuses on ensuring seamless implementation across all areas of the revenue cycle for dermatology and plastic surgery clients.
Responsibilities
- Lead end-to-end implementation of new practices, including system setup, workflow design, and go-live support
- Serve as the RCM subject matter expert, ensuring all billing processes are accurate and optimized
- Oversee all areas of the revenue cycle, including charge capture, coding (CPT/ICD-10), claims submission, denials management, A/R follow-up, and patient billing
- Partner with internal teams such as Billing, Coding, Business Intelligence, Training, and Operations to ensure successful onboarding
- Identify and mitigate risks related to payer setup, credentialing, authorizations, and billing workflows
- Ensure proper configuration and use of billing systems (e.g., ProCollect, EMRs, clearinghouses)
- Develop and document standardized implementation processes and best practices
- Provide post-go-live support and performance monitoring to ensure stability and success
- Act as the primary point of contact for clients during onboarding
Requirements
- Minimum 5 years of experience in medical billing and revenue cycle management
- Strong knowledge of dermatology and/or plastic surgery billing (highly preferred)
- Proven experience managing implementations, onboarding, or process transitions
- Deep understanding of payer rules and reimbursement methodologies, denials and appeals processes, insurance verification, and authorization workflows
- Strong project management and organizational skills
- Ability to work cross-functionally and manage multiple implementations simultaneously
- Excellent communication and problem-solving skills
Preferred Qualifications
- Experience with multi-entity or multi-specialty organizations
- Lean/process improvement mindset
Key Success Metrics
- Successful and timely go-lives
- Reduction in post-implementation billing errors
- Clean claim rate and denial rate post-launch
- Client satisfaction during onboarding
- Time to stabilize A/R performance
Location
Reporting
- Reports to the Director for Billing
Compensation & Benefits
Details regarding compensation and benefits were not provided.