• Acts as liaison between business, sales and engineering teams to refine our RCM product based on customer and market demands.• Partners with Engineering and product leadership to drive and manage the RCM solution development process and ensure the product team understands the direction and vision.• Create and maintain the RCM solutions vision, roadmap, and backlog of work through the project's life cycle.• Translates features into user stories within the team’s backlog while managing, ranking, and prioritizing this backlog to reflect internal and external stakeholder requirements

• Knowledgeable in building dashboards with various CRMs to drive quality and performance through KPIs• Assigned Management by Objects to the Payer Team ensuring they understand the direction and vision of the Company/Department.• Responsible for contract negotiation with various vendors to manage EDI transactional cost• Improved Quality, Productivity & Process Time for cross departmental process through training, process changes, and SLAs

• Developed, Hired, and trained the clearinghouse “payer” team to support our RCM/Clearinghouse product.• Helped design, develop and create company cloud based RCM/Clearinghouse product (Ad hoc Product owner).• Strong understanding of SNIP level edits and rule engine validation• Experience with EHR/EMR, healthcare technology vendors, and healthcare providers

• Responsible for quality control with case auditing and compliance checking• Versed in creating, testing, and implementing direct connections with various payers and clearinghouses• Skilled with handling critical issues and backlog reduction for the department• Versed in managing and delegating assigned case work to employees• Experienced in sFTP production processes and setup• Facilitated team knowledge sharing and other training documents for the department

• Successfully implemented company compliance with all EDI connections for transitioning from v4010 to v5010 (E2E payer testing, compliance checking, and edit/rule engine logic)• Proficient in the EDI Healthcare claim billing and responses (837, 999, 276/277,270/271,835)• Knowledgeable with the unique EDI requirements for Medicare, Medicaid, and commercial payers