Orthomed Anesthesia

Job Details

Job Location: ADDISON, TX 75001

Position Overview

OrthoMed Anesthesia is seeking a detail-oriented Manager of Revenue Cycle Management (RCM) to support and optimize the Accounts Receivable operations. This role is responsible for managing the following functions: follow-up on billed claims, additional documentation requests, reconsiderations, denials, and appeals to ensure no claims are lost, payer requests are completed timely and correctly, and effective denial/appeal management.

The Manager will collaborate cross-functionally with Clinical, IT, and Operational teams to ensure regulatory compliance and operational efficiency. This is a full-time position based at our corporate office in Addison, TX, reporting to the Director of Revenue Cycle Management. The role requires on-site presence during regular business hours.

Key Responsibilities

• Manage day-to-day RCM operations on post-billed claims through to zero-balance
• Monitor and effectively manage team productivity, quality, and overall performance
• Monitor and analyze key performance indicators (KPIs) and generate reports for management review
• Supervise and mentor RCM staff members, providing guidance and training as needed
• Collaborate with other RCM teams, Operations, Credentialing, Compliance, and IT teams to maintain efficient workflows
• Assist with denial management and appeals processes to optimize revenue recovery
• Support internal audits and staff training initiatives
• Identify process improvement opportunities and implement solutions
• Perform additional duties as assigned in support of organizational goals

Supervisory Responsibilities

• Directly supervise the accounts receivable follow-up, denials, and appeals team, including hiring, onboarding, scheduling, and day-to-day work direction
• Set individual and team performance goals, conduct regular check-ins, and deliver coaching, performance reviews, and corrective action as needed
• Balance workloads and adjust staffing to consistently meet productivity, quality, and turnaround targets
• Foster a collaborative, accountable team culture and serve as the escalation point for complex claim, payer, and personnel issues

Required Qualifications

• Bachelor's degree in Healthcare Administration, Finance, or equivalent professional experience
• Minimum 3 years of RCM experience, preferably in physician-based billing
• Understanding of CPT coding, ASA modifiers, concurrency rules, and time documentation
• Knowledge of federal compliance standards and CMS regulations
• Demonstrated experience in team supervision and performance management
• Strong analytical and communication skills
• Proficiency with billing software and Microsoft Office applications

Preferred Qualifications

• AAPC, HFMA, or CRCR certification
• Experience with anesthesia-specific billing platforms (e.g. PhyGeneSys)
• Familiarity with Medicare, Medicaid, and commercial payer billing guidelines
• Knowledge of No Surprises Act (NSA) and Independent Dispute Resolution (IDR) regulations

Work Environment & Physical Requirements

• On-site position based at the OrthoMed Anesthesia corporate office in Addison, TX, during regular business hours
• Primarily an office setting involving extended periods of computer, telephone, and seated work
• Occasional travel may be required for meetings, training, or payer-related engagements
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the role

Why Join OrthoMed Anesthesia?

At OrthoMed, we are committed to building a forward-thinking anesthesia group rooted in transparency, compliance, and exceptional patient care. As part of our leadership team, you'll receive:

• Competitive salary with performance-based bonus opportunities
• Comprehensive health, dental, and vision insurance
• 401(k) plan with 3% non-discretionary company contribution
• Paid holidays, PTO, and professional development support
• A collaborative and growth-oriented work environment