Revenue Cycle Manager Recruiters

What do we check before you see anyone?

Ask: “How would you investigate an increase in denied claims?” A useful answer separates denials by payer, reason, service, and submission date. It describes checking sample accounts before deciding whether the problem needs corrected claims, appeals, staff coaching, or an upstream change.

• Ask: “What would you review before assigning aging accounts to collectors?” Listen for payer response status, filing and appeal deadlines, missing information, previous follow-up, and collectible balances. Strong answers explain why the oldest account is not always the next account to work.
• Ask: “How do you detect posting or adjustment errors?” Candidates should explain reconciliation between remittances, deposits, and account entries. Ask who approves write-offs and how unusual adjustments are reviewed. Accepting a balanced total without checking account-level exceptions is a weak answer.
• Ask: “What happens when coding and billing disagree about a claim?” Look for a documented handoff, access to the relevant record, and escalation to the appropriate coding or clinical lead. The manager should describe resolving the discrepancy without changing codes merely to obtain payment.
• Ask: “How do you know whether staff coaching changed results?” Useful evidence includes reviewed account examples, recurring error categories, follow-up audits, and clearer work instructions. Ask how they distinguish a staff training issue from a payer delay or a system configuration problem.
• Ask: “Which reports did you own, and what decisions followed?” Seek definitions for reported measures, reconciliation methods, and examples of action taken. We also screen work history and claimed credentials. You validate system access, references, and any credentials your organization expects.

Which mistakes stall the search?

A common mistake is hiring from cash results alone. Ask what changed in volume, payer mix, staffing, and old-account cleanup before attributing improved collections to the candidate. Another is leaving vendor oversight undefined. Specify who reviews exceptions, challenges invoices, approves adjustments, and follows disputed accounts when an outside firm performs billing.