Our purpose of providing the foundation for better health fuels our clients to meet the unique ... Work payer projects as directed * Research contract terms/interpretation and compile necessary ...
Our purpose of providing the foundation for better health fuels our clients to meet the unique ... Work payer projects as directed * Research contract terms/interpretation and compile necessary ...
Clinical Lead, Oncology Nurse
Phoenix, AZ · On-site
... of care across the multidisciplinary team (providers, navigation, pharmacy, RCM) Promotes high ... Direct Reports To be determined Travel Must have the ability & willingness to travel to other sites ...
Clinical Lead, Oncology Nurse
Phoenix, AZ · On-site
... of care across the multidisciplinary team (providers, navigation, pharmacy, RCM) Promotes high ... Direct Reports To be determined Travel Must have the ability & willingness to travel to other sites ...
Clinical Lead, Oncology Nurse
Phoenix, AZ · On-site
... of care across the multidisciplinary team (providers, navigation, pharmacy, RCM) * Promotes high ... Direct Reports To be determined Travel Must have the ability & willingness to travel to other sites ...
Clinical Lead, Oncology Nurse
Phoenix, AZ · On-site
... of care across the multidisciplinary team (providers, navigation, pharmacy, RCM) * Promotes high ... Direct Reports To be determined Travel Must have the ability & willingness to travel to other sites ...
Revenue Cycle Medical Coder (9016)
Phoenix, AZ · On-site
$17.75 - $23.75/hr
Terros Health is a healthcare organization of caring people, guided by our core values of integrity ... This position reports to the Director, Revenue Cycle. HOPE ~ HEALTH ~ HEALING * Ensuring that ...
Revenue Cycle Medical Coder (9016)
Phoenix, AZ · On-site
$17.75 - $23.75/hr
Terros Health is a healthcare organization of caring people, guided by our core values of integrity ... This position reports to the Director, Revenue Cycle. HOPE ~ HEALTH ~ HEALING * Ensuring that ...
Revenue Cycle Supervisor
Mesa, AZ · On-site
$62K - $76K/yr
RCM Manager Pay Grade: Grade 13 Location: Onsite in business office Employment Type: Regular ... The ideal candidate will have a strong understanding of healthcare revenue cycle processes ...
Quick apply
Revenue Cycle Supervisor
Mesa, AZ · On-site
$62K - $76K/yr
RCM Manager Pay Grade: Grade 13 Location: Onsite in business office Employment Type: Regular ... The ideal candidate will have a strong understanding of healthcare revenue cycle processes ...
Revenue Cycle Medical Coder (9016)
Phoenix, AZ · On-site
$17.75 - $23.75/hr
Terros Health is a healthcare organization of caring people, guided by our core values of integrity ... This position reports to the Director, Revenue Cycle. HOPE ~ HEALTH ~ HEALING * Ensuring that ...
Revenue Cycle Medical Coder (9016)
Phoenix, AZ · On-site
$17.75 - $23.75/hr
Terros Health is a healthcare organization of caring people, guided by our core values of integrity ... This position reports to the Director, Revenue Cycle. HOPE ~ HEALTH ~ HEALING * Ensuring that ...
Clinical Lead, Oncology Nurse
Phoenix, AZ · On-site
... of care across the multidisciplinary team (providers, navigation, pharmacy, RCM) • Promotes high ... Direct Reports • To be determined Travel • Must have the ability & willingness to travel to ...
Clinical Lead, Oncology Nurse
Phoenix, AZ · On-site
... of care across the multidisciplinary team (providers, navigation, pharmacy, RCM) • Promotes high ... Direct Reports • To be determined Travel • Must have the ability & willingness to travel to ...
IOP Intake Specialist
Tempe, AZ · On-site
$17.25 - $23/hr
Coordinate with the IOP Clinical Director or assigned clinician to confirm level-of-care ... RCM team, and communicate resolution timelines to patients and the clinical team. EHR Transfer ...
IOP Intake Specialist
Tempe, AZ · On-site
$17.25 - $23/hr
Coordinate with the IOP Clinical Director or assigned clinician to confirm level-of-care ... RCM team, and communicate resolution timelines to patients and the clinical team. EHR Transfer ...
Clinical Lead, Oncology Nurse
Phoenix, AZ · On-site
... of care across the multidisciplinary team (providers, navigation, pharmacy, RCM) • Promotes high ... Direct Reports • To be determined Travel • Must have the ability & willingness to travel to ...
Clinical Lead, Oncology Nurse
Phoenix, AZ · On-site
... of care across the multidisciplinary team (providers, navigation, pharmacy, RCM) • Promotes high ... Direct Reports • To be determined Travel • Must have the ability & willingness to travel to ...
Patient Experience Specialist
Mesa, AZ · On-site
$17.75 - $22.75/hr
... RCM Billing Office. The candidate will be a natural fit for our 3 winning behaviors: We are ... Ability to work independently of direct supervision. * Well organized and detail oriented.
Patient Experience Specialist
Mesa, AZ · On-site
$17.75 - $22.75/hr
... RCM Billing Office. The candidate will be a natural fit for our 3 winning behaviors: We are ... Ability to work independently of direct supervision. * Well organized and detail oriented.
Senior Reliability Engineers
Phoenix, AZ · On-site
Knowledge of Reliability-Centered Maintenance (RCM) practices * Ability to travel as needed ... direct impact on equipment reliability, operational excellence, and continuous improvement ...
Senior Reliability Engineers
Phoenix, AZ · On-site
Knowledge of Reliability-Centered Maintenance (RCM) practices * Ability to travel as needed ... direct impact on equipment reliability, operational excellence, and continuous improvement ...
Account Manager - Contracting and Provider Enrollment
Scottsdale, AZ · On-site
$90K - $105K/yr
This is a fully hands-on role with no direct reports or people management responsibilities. The ... or RCM environments preferred * Existing referral relationships or book of business within health ...
Quick apply
Account Manager - Contracting and Provider Enrollment
Scottsdale, AZ · On-site
$90K - $105K/yr
This is a fully hands-on role with no direct reports or people management responsibilities. The ... or RCM environments preferred * Existing referral relationships or book of business within health ...
Account Manager - Contracting and Provider Enrollment
Scottsdale, AZ · On-site
$90K - $105K/yr
This is a fully hands-on role with no direct reports or people management responsibilities. The ... or RCM environments preferred * Existing referral relationships or book of business within health ...
Account Manager - Contracting and Provider Enrollment
Scottsdale, AZ · On-site
$90K - $105K/yr
This is a fully hands-on role with no direct reports or people management responsibilities. The ... or RCM environments preferred * Existing referral relationships or book of business within health ...
Account Manager - Contracting and Provider Enrollment
Scottsdale, AZ · Remote
$90K - $105K/yr
This is a fully hands-on role with no direct reports or people management responsibilities. The ... or RCM environments preferred * Existing referral relationships or book of business within health ...
Account Manager - Contracting and Provider Enrollment
Scottsdale, AZ · Remote
$90K - $105K/yr
This is a fully hands-on role with no direct reports or people management responsibilities. The ... or RCM environments preferred * Existing referral relationships or book of business within health ...
Epic Denials Manager
Tempe, AZ · Remote
... directors to ensure continuous open communication about hospital operations that impact delivery of ... As an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services ...
Epic Denials Manager
Tempe, AZ · Remote
... directors to ensure continuous open communication about hospital operations that impact delivery of ... As an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services ...
Billing Specialist I
Mesa, AZ · On-site
$19 - $25.75/hr
In our EMS RCM environment, strong data and sharp analysis matter because they directly affect ... Want to be part of healthcare without direct clinical work - you like the idea of helping patients ...
Billing Specialist I
Mesa, AZ · On-site
$19 - $25.75/hr
In our EMS RCM environment, strong data and sharp analysis matter because they directly affect ... Want to be part of healthcare without direct clinical work - you like the idea of helping patients ...
Epic Denials Manager
Gilbert, AZ · Remote
... directors to ensure continuous open communication about hospital operations that impact delivery of ... As an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services ...
Epic Denials Manager
Gilbert, AZ · Remote
... directors to ensure continuous open communication about hospital operations that impact delivery of ... As an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services ...
Registered Nurse (School Nurse-RN)
Phoenix, AZ · On-site
$39 - $44/hr
... being of students to support their academic success. This role provides direct nursing care ... RCM Healthcare Services is Joint Commission certified, reflecting a commitment to quality ...
Registered Nurse (School Nurse-RN)
Phoenix, AZ · On-site
$39 - $44/hr
... being of students to support their academic success. This role provides direct nursing care ... RCM Healthcare Services is Joint Commission certified, reflecting a commitment to quality ...
Director Of Rcm information
What does a director of RCM do?
What are the key skills and qualifications needed to thrive as a director of RCM, and why are they important?
What are some common challenges directors of RCM face when overseeing revenue cycle operations, and how can they proactively address them?
What is the difference between Director Of Rcm vs Revenue Cycle Manager?
| Aspect | Director Of Rcm | Revenue Cycle Manager |
|---|---|---|
| Credentials | Typically requires a bachelor’s degree in healthcare administration, finance, or related field; certifications like CPC or RHIT are common | Usually holds a bachelor’s degree; certifications like CPC or RAC may be preferred |
| Work Environment | Oversees multiple departments, strategic planning, and high-level decision-making in healthcare organizations | Manages daily revenue cycle operations, billing, and collections at departmental level |
| Employer & Industry Usage | Commonly found in hospitals, large clinics, and health systems | Typically employed in hospitals, physician practices, and outpatient facilities |
The main difference is that the Director Of Rcm focuses on strategic oversight and leadership of the entire revenue cycle, while the Revenue Cycle Manager handles day-to-day operations and departmental management. Both roles require healthcare finance knowledge and certifications, but the Director role involves higher-level planning and decision-making.
How much does a director of RCM make?

Claims Analyst
Phoenix, AZ
Full-time
Medical, Dental, Vision
Re-posted 15 days ago
Job description
Conifer Health has been providing managed services to health systems, their health plans and managed populations for more than 30 years. Our value-based solutions enhance consumer engagement, drive clinical alignment, manage risk, and improve financial performance.
Our purpose of providing the foundation for better health fuels our clients to meet the unique needs of the communities they serve.
Summary:
Responsible for validating disputes presented on Explanation of Benefits (EOB), entering denied claim into the DMT database, and escalating payment /variance trends to Management and generating appeals for denied or underpaid claims.
Essential Functions:
- Validate denial reasons and ensures coding is accurate and reflects the denial reasons. Coordinate with the Clinical Resource Center (CRC) for clinical consultations or account referrals when necessary
- Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations.
- Follow specific payer guidelines for appeals submission
- Escalate exhausted appeal efforts for resolution
- Work payer projects as directed
- Research contract terms/interpretation and compile necessary supporting documentation for appeals, Terms & Conditions for Internet enabled Managed Care System (IMaCS) adjudication issues, and referral to refund unit on overpayments.
- Perform research and makes determination of corrective actions and takes appropriate steps to code the system and route account appropriately.
- Escalate denial or payment variance trends to NIC leadership team for payor escalation.
- HS/Diploma GED equivalent
- 2 years minimum in a Hospital or RCM environment performing billing / collections / disputes & claims research
- Payer Knowledge - MUST be strong in payer knowledge & being able to identify trends
- AR follow up Experience
- Intermediate understanding of Explanation of Benefits form (EOB).
- Understanding of UB-04 / 1500 forms
- Medical terminology
- Intermediate Microsoft Office (Word, Excel) skills
- Advanced business letter writing skills (Correct use of punctuation / grammar)
- Must be able to multi-task and adapt to change
Advantages of this Opportunity:
- Competitive salary, negotiable based on relevant experience
- Benefits offered, Medical, Dental, and Vision
- Fun and positive work environment
- Monday-Friday must be available from 8:00AM to 5:00PM hour shift.
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003