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Global Revenue Cycle
Management Solutions
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Who we are and what we do
Welcome to Global Revenue Cycle Management Solutions, where excellence meets expertise in reclaiming your revenue. Our team comprises industry-leading consultants dedicated to dissecting the intricacies of denied claims, identifying root causes, and unlocking appeal opportunities. With precision and diligence, we craft compelling appeal letters and tenaciously pursue overturned payments, ensuring you receive what you rightfully deserve.
Beyond mere recovery, our denial management experts delve deeper, providing insightful recommendations and trend reports. By analyzing patterns and bottlenecks, we empower your organization to implement operational enhancements that not only resolve immediate issues but also mitigate future claim denials, fostering long-term financial health.
At Global Revenue Cycle Management, we are more than consultants; we are partners in your pursuit of optimized revenue streams and sustainable operational excellence.
Leadership Team
Darlene Farron
CFO
Matthew Davis
CIO
Robert F. McCarthy ESQ
Head of Legal & Compliance
Janet Squillante
Director of Administration
Patrick Maney
Chairman
Click the below links to see our current employment opportunities. If interested please email resume to info@grcmgt.com
**Job Title:**Hospital and Clinic Revenue Cycle Management Claims Denial Specialist
**Location:** Remote
**Job Type:** Contract
**Introduction:**
We are currently seeking a meticulous and dedicated Claims Denial Specialist to join our Revenue Cycle Management (RCM) team. This role is essential for analyzing and resolving denied claims and for implementing strategies to minimize future denials. The ideal candidate will have a thorough understanding of billing codes, payer requirements, and the appeals process.
**Key Responsibilities:**
- Review and analyze denied claims to determine the reasons for denial and identify patterns that could be addressed to reduce future denials.
- Work closely with the coding and billing departments to ensure accurate claim submission.
- Develop and implement effective appeal strategies for denied claims, including writing appeal letters and following up on the progress of appeals.
- Train and guide RCM staff on best practices for avoiding claim denials.
- Liaise with insurance companies to clarify guidelines, negotiate settlements, and update the team on changes in insurance policies.
- Maintain accurate records of denials and appeals, including documentation of reasons for denial and outcomes of appeal efforts.
- Generate regular reports detailing denial patterns, appeal outcomes, and recommendations for process improvements to enhance billing practices and reduce denials.
- Participate in regular team meetings to discuss challenges, progress, and strategies related to management of claim denials.
**Qualifications:**
- Associate’s degree in Medical Billing, Health Information Technology, or a related field; Bachelor’s degree preferred.
- At least 3 years of experience in medical billing or within a revenue cycle management role, with a specific focus on claims denials and appeals.
- Strong understanding of medical terminology, ICD-10, CPT coding, and payer guidelines.
- Demonstrated ability to effectively manage and appeal denied claims.
- Excellent analytical skills and attention to detail.
- Strong communication and interpersonal skills, capable of working effectively with cross-functional teams.
- Proficient in medical billing software and Microsoft Office Suite.
**Benefits:**
- Competitive salary based on experience.
- Professional development opportunities.
**Application Process:**
Interested candidates should submit a resume along with a cover letter detailing their qualifications and experiences related to this role. Please include contact information for at least two professional references.
Global Revenue Cycle Management Solutions is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.**Job Title:** National Hospital and Clinic Revenue Cycle Management Processing Expert
**Location:** Remote
**Job Type:** Full-Time
**Introduction:**
We are seeking a highly skilled and experienced National Hospital and Clinic Revenue Cycle Management (RCM) Processing Expert to join our dynamic team. This role is crucial for ensuring the financial sustainability of our healthcare operations across the nation. The ideal candidate will be adept in managing and optimizing all aspects of the revenue cycle processes across multiple facilities, enhancing financial performance while maintaining compliance with relevant regulations.
**Key Responsibilities:**
- Lead and oversee the revenue cycle management processes for a network of hospitals and clinics nationwide.
- Implement effective strategies to minimize the cycle time of billing and improve cash flow while maintaining high standards of accuracy and compliance.
- Analyze and report on financial performance data, identifying trends and areas for improvement in billing and collections.
- Collaborate with IT and finance departments to enhance RCM software and tools, ensuring seamless integration and functionality.
- Train and mentor RCM staff on best practices, updates in regulations, and use of technology.
- Maintain up-to-date knowledge of regulations and guidelines affecting billing and collections, including Medicare, Medicaid, and private insurance policies.
- Develop and maintain relationships with key stakeholders within and outside the organization, including insurance representatives and regulatory bodies.
- Conduct regular audits and reviews to ensure compliance with federal and state laws, and internal policies.
- Address and resolve complex billing issues, providing expert advice and practical solutions to ensure timely reimbursement.
**Qualifications:**
- Bachelor’s degree in Finance, Healthcare Administration, or a related field. Master’s degree preferred.
- Minimum of 7 years of experience in revenue cycle management within a hospital or clinic setting, with at least 3 years in a managerial or supervisory role.
- In-depth knowledge of healthcare billing, including ICD-10, CPT coding, and medical terminology.
- Proven track record of improving RCM processes and financial outcomes.
- Strong leadership skills and the ability to manage teams across multiple locations.
- Excellent communication and interpersonal skills, with the ability to interact effectively at all levels of the organization.
- Proficient in RCM software and other healthcare IT systems.
**Benefits:**
- Competitive salary package, including performance bonuses.
- Comprehensive health, dental, and vision insurance.
- Opportunities for professional development and continuing education.
**Application Process:**
Interested candidates should submit a resume and a detailed cover letter explaining their qualifications and experience relevant to the role. Please include references along with your application.
**Global Revenue Cycle Managment Solutions is an Equal Opportunity Employer and we value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.**
Employment
Success Stories
“We saw a 40% increase in the overturn rate of denied inpatient admissions within the 1st year of partnering with Global Revenue Cycle Management Solution. By implementing their proactive denial prevention strategies and streamlining their appeal management process, they achieved significant improvements in revenue recovery and operational efficiency.”
“We increased our DRG recovery by 40% after engaging with the expert team at Global Revenue Cycle Management Solutions. Our meticulous review process and compliance-focused approach ensured that their DRG assignments were more precise, leading to enhanced reimbursement rates and financial stability.”
“We experienced a 40% reduction in claim denials following a comprehensive business process review conducted by Global Revenue Cycle Management Solution. By optimizing denial management workflows and implementing industry best practices, we were able to recapture lost revenue and improve overall revenue cycle performance.”
“We partnered with Global Revenue Cycle Management Solution to overhaul our denial management process. Within a year, we saw a remarkable 50% increase in overturned denials and recovered revenue. Their strategic appeal management and proactive denial prevention strategies paved the way for our success.”
“We achieved remarkable results in DRG validation accuracy after implementing recommendations from Global Revenue Cycle Management Solution’s comprehensive review. Our DRG accuracy improved by 35%, leading to higher reimbursement rates and improved financial outcomes.”
