Regional RCM Liaison

Description

Women’s Care, founded in 1998, is a leading women’s healthcare group in the United States, dedicated to providing the highest quality of care for women through their reproductive years and beyond. With 100 locations and over 400 OB/GYNs and specialists across the country, Women’s Care provides comprehensive patient care in obstetrics, gynecology, gynecologic oncology, urogynecology, gynecologic pathology, breast surgery, genetic counseling, maternal fetal medicine, laboratory services, and fertility. 

The Regional RCM (Revenue Cycle Management) Liaison is responsible for facilitating and managing communication between operational teams, leadership, and the RCM department. This role serves as the primary point of contact for all RCM related matters.  The Regional RCM Liaison ensures process consistency, identifies areas for improvement, and collaborates with operational staff to drive successful outcomes. This position requires a proactive and collaborative individual who can manage tasks efficiently, maintain strong relationships with internal stakeholders, and support the development and execution of process improvements. 

• Serve as the primary point of contact for all RCM-related matters including payment posting, AR follow-up, charge entry, coding (where applicable), and questions related to collections, pending claims, credentialing, and insurance enrollment.
• Address and resolve inquiries regarding claims submission, delays, and patient access issues (e.g., scheduling standards, insurance verification, patient collections).
• Provide support and guidance for operational staff regarding all aspects of the revenue cycle.
• Create and present monthly RCM metrics to leadership, highlighting key performance indicators and areas of success and opportunities for improvement.
• Compile bi-weekly reports for the Director of RCM and the CRO, tracking unit-specific issues, and escalating concerns when necessary.
• Coordinate monthly meetings with the Director of RCM and the CRO to review month-end results, providing detailed presentations for each unit's performance.
• Build and maintain positive relationships with operational staff and leadership, promoting a cooperative and solution-oriented work environment.
• Collaborate with assigned units and other Regional RCM Liaisons to identify opportunities for training, process improvement, and workflow optimization.
• Conduct at minimum monthly site visits to assigned units to provide ongoing support and maintain strong partnerships.
• Organize and schedule training sessions, ensuring the necessary documentation and materials are prepared to support RCM staff onboarding and development.
• Continuously evaluate and recommend changes to operational procedures and workflows to improve efficiency and effectiveness.
• Share best practices and educate staff on process improvements to address identified areas of underperformance.
• Ensure clear, professional, and consistent communication across all teams and stakeholders.
• Document all unit site visits and interactions thoroughly, ensuring alignment and coordination of engagement efforts.
• Identify and troubleshoot concerns, escalating issues according to established protocols when necessary.
• Think creatively to resolve challenges and drive continuous improvements in RCM operations.
• Triage concerns appropriately, ensuring efficient issue resolution while minimizing disruptions to the workflow.
• Work closely with operational and RCM stakeholders to develop and execute process improvement initiatives.
• Ensure effective communication and education on quality metrics, provider performance, and compliance.
• Demonstrate and embody the Women’s Care mission and core values.
• Compliance with all HIPAA rules, regulations, and guidelines.
• Other duties as assigned.

Qualifications

Qualifications:

• Bachelor’s degree in Business, Healthcare Administration, or related field preferred.
• Minimum 2 years of proven experience in revenue cycle management, healthcare RCM / operations, or an equivalent combination of education and experience.
• Strong knowledge of payment posting, AR follow-up, charge entry, claims submission, insurance verification and authorization. 
• Excellent communication, organizational, and interpersonal skills.
• Ability to build productive relationships with cross-functional teams and leadership.
• Experience in data analysis and report generation.
• Proficiency in Microsoft Office Suite and other relevant software tools.
• Ability to work independently, manage multiple tasks, and prioritize effectively.
• Detail-oriented with a commitment to continuous improvement and problem-solving.
• 2 years EMR experience is required; eCW and Phreesia experience strongly preferred. 
• Willing and able to travel up to 75% within assigned region.
• Ability to perform frequent site visits and interact with staff and leadership in assigned units.
• Ability to work in a fast-paced environment and manage competing priorities.
• Must be dependable, reliable, and punctual. 

WHY JOIN WOMEN'S CARE? 

We Offer:

• Competitive compensation package
• Health, dental, and vision benefits
• Paid time off and paid holidays
• 401k plan 
• An opportunity to make a difference in patients' lives every day!

Women’s Care has grown tremendously through the years and expects to accelerate its growth with plans to expand rapidly into new markets across the U.S. With the commitment of our employees, we remain true to our mission of ‘Improving the Health of Women Every Day.’ At Women’s Care, we CARE about our patients, and we stand by our values.  

 Compassion & Empathy: Treating patients like valued friends and family 

 Accountability: Taking responsibility for our actions and behaviors 

 Respect: Acting respectfully in every interaction 

 Excellence & Quality: Providing the safest, highest quality of care