RCM Performance Coach

Role Purpose 

Improve execution quality across administrative functions, including Patient Access, Order Entry, Billing, Denials, Collections, and Compliance. Translate Analyst insights into targeted coaching interventions that reduce defects, strengthen compliance, and accelerate reimbursement. 

Operate as a hands-on performance coach who partners closely with functional managers and supervisors to reinforce coaching discipline, sustain standards, and align daily execution to ROMTech’s rhythm of business. 

Core Responsibilities 

1. Individual Coaching and Manager Partnership 

• Deliver 1:1 coaching sessions with RCM and Access staff to close execution gaps tied to defects, delays, and compliance risk 

• Partner with supervisors and managers to reinforce coaching frameworks, inspection routines, and accountability expectations 

• Support managers in developing coaching capability so performance improvements are sustained through frontline leadership 

2. Dedicated Coverage 

• Primary focus on Revenue Cycle Management, including eligibility verification, billing accuracy, denials management, collections, and compliance 

• Expand coverage into Patient Access, Order Entry, Scheduling, and Delivery operations as enterprise performance priorities evolve 

3. Execution Frameworks 

• Develop and apply coaching playbooks, checklists, and inspection standards for high-risk tasks such as eligibility checks, prior authorizations, claim submissions, denial prevention, and refund processing 

• Support competency validation and recertification cycles as part of the broader rhythm of the business 

• Partner with Training and Quality to reinforce compliance and documentation standards, ensuring coaching focuses on applied execution rather than duplicating training content 

4. Closing the Loop 

• Validate Analyst findings through workflow audits, file reviews, and frontline observation 

• Translate defect patterns (e.g., eligibility misses, late charges, denial trends) into targeted coaching actions that result in measurable performance improvement 

• Track behavior change and confirm impact through downstream operational metrics 

5. Cross-Functional Partnerships 

• Collaborate with RCM leadership, Patient Access leads, Finance, Delivery Operations, and Compliance 

• Coordinate with Training, Quality, and HR to align coaching efforts with competency standards and performance expectations 

• Serve as a feedback conduit between frontline execution and leadership decision-making 

Key Outcomes 

• Reduced defect rates across eligibility, billing, and denial workflows 

• Improved reimbursement speed and clean-claim performance 

• Stronger compliance discipline and documentation accuracy 

• Visible return on coaching investment through sustained execution improvement 

• Embedded coaching cadence aligned to weekly huddles, RCA cycles, and certification checkpoints 

Key Performance Indicators  

Coaching efforts are expected to influence performance movement across metrics such as: 

• First-pass acceptance / clean-claim rate 

• Denial rate and denial mix 

• Days in Accounts Receivable 

• Timely filing compliance 

• Charge capture accuracy 

• Rework and defect volume tied to eligibility and documentation errors 

Tools & Systems Exposure 

• Billing and claims management platforms 

• Eligibility and prior authorization systems 

• Denials and appeals workflows 

• Documentation and audit artifacts 

• Performance dashboards and analyst reporting outputs 

Qualifications 

• Bachelor’s degree or equivalent experience in Healthcare Administration, Business, or related field 

• 5 years of experience in Revenue Cycle Management, Patient Access leadership, or administrative operations within healthcare or MedTech 

• Demonstrated experience coaching staff in billing, collections, or compliance-heavy environments 

• Working knowledge of Medicare, Medicaid, and commercial payer standards, including timely filing rules and audit requirements 

• Exposure to Lean, Six Sigma, or operational excellence frameworks preferred 

Competencies / Traits 

• Trusted advisor to frontline staff and supervisors 

• Direct, credible, and disciplined in feedback delivery 

• Strong root-cause orientation with deep process fluency 

• Comfortable operating without perfect structure and helping establish standards 

Coaching-first mindset focused on accountability and reinforcement