Standard Operating Procedures Specialist - Healthcare RCM

Standard Operating Procedures Specialist - Healthcare RCM at Guidehouse in United States.

Role Summary

Job Family

Business Operations

Clearance Required

None

Responsibilities

• Create detailed step-by-step documentation for back end (AR Follow Up & Denials, Billing) Revenue Cycle Management (RCM) processes.
• Collaborate with operations and quality teams to identify needs, skill gaps, and coaching opportunities, ensuring SOP content aligns with business requirements.
• Coordinate meetings, organize information, and track follow-up items with moderate supervision.
• Provide ongoing support for process clarifications and performance enhancement.
• Maintain project planning materials, accurate records, conduct version control, review performance reports, and ensure completion of SOP deliverables within project timelines.
• Manage Sharepoint sites for document distribution.
• Conduct Quality Assessments as needed.

Requirements

• A high school diploma and 8+ years of prior relevant experience (Relevant experience may be substituted for formal education)
• Strong knowledge and hands-on experience in back end Revenue Cycle Management processes, including billing, denial management, and AR follow-up.
• Excellent communication, presentation, and facilitation skills.
• Ability to manage multiple stake holders and deliver impactful results.
• Strong analytical and problem-solving abilities.
• Ability to design SOP and training documentation and complete deliverables within strict deadlines.
• Proficiency in Microsoft Word, PowerPoint, Excel, Visio, Microsoft Teams, SharePoint, OneDrive, and Outlook
• Proficiency in at least one Patient Accounting software platform such as EPIC, MEDITECH, Cerner

What Would Be Nice To Have

• Prior experience as an RCM workflow content writer and/or Trainer.
• Experience in curriculum creation or process documentation.
• Experience with AI tools such as ChatGPT, MS Copilot (Creating AI agents, process improvement automation).
• Familiarity with Power BI.
• The annual salary range for this position is $59,000.00-$98,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

Benefits include

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program
• About Guidehouse
• Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
• Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse . Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse , please report the matter to Guidehouse ’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Benefits

• Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
• Travel Required
• Up to 10%