This course is designed for new and experienced RCM managers and directors who are navigating the increasingly complex world of healthcare revenue cycle leadership. Learners will gain practical tools and insights to confidently manage high-volume, multi-payer environments while ensuring financial accuracy and operational excellence.

Key Topics Covered:

• Understanding the Expectations of Being a Manager or Director

Learn how to transition from frontline tasks to strategic leadership, including setting goals, managing teams, and driving performance.

• Managing High-Complexity Claims

Dive into strategies for resolving claims involving multiple CPTs, modifiers, authorizations, and payer rules with efficiency and accuracy.

• Mastering Reconciliation Processes

Explore reconciliation techniques to ensure accurate payment posting, adjustment handling, and financial balancing between systems.

• Navigating Multi-Payer Scenarios

Understand how to coordinate benefits, apply appropriate billing logic, and handle primary, secondary, and tertiary payer complexities.