RCM Account Manager

This is a full-time, exempt position reporting to our Director of RCM Account Management.

What You Will Do

Client Relationship Management:

• Serve as the primary point of contact for assigned clients, addressing inquiries and concerns proactively.
• Build and maintain strong relationships with healthcare providers and stakeholders.
• Conduct regular client meetings to review RCM performance, discuss challenges, and align on financial goals.
• Provide ongoing education to clients on RCM processes, industry trends, and regulatory changes.

Revenue Cycle Performance & Optimization:

• Monitor and analyze key performance indicators (KPIs) such as Days Sales Outstanding (DSO), Denial Rates, AR Aging, and Net Collections.
• Identify trends and implement solutions to optimize revenue collection and minimize delays.
• Collaborate with internal billing, coding, and collections teams to ensure timely claims submission, payment posting, and follow-ups.
• Address payer issues, reimbursement challenges, and operational bottlenecks.

Operational & Financial Oversight:

• Develop and execute action plans to improve financial outcomes for clients.
• Ensure compliance with industry regulations (HIPAA, CMS, payer policies) and best practices.
• Provide detailed reporting and insights on revenue cycle health.
• Partner with leadership to refine workflows and enhance efficiency.

Issue Resolution & Process Improvement:

• Investigate and resolve client issues related to claims, payments, or system inefficiencies.
• Work cross-functionally with internal teams to drive process improvements.
• Identify automation and technology enhancements to streamline operations.

Qualifications & Skills:

• Experience: 5+ years in revenue cycle management, medical billing, or healthcare account management. Multi-specialty RCM experience required.
• Education: Bachelor’s degree in healthcare administration, Business, or equivalent years of professional experience.
• Technical Skills: Familiarity with RCM software (e.g., NextGen, Athena, eClinicalWorks, Waystar), payer portals, and reporting tools.
• Knowledge: Strong understanding of medical billing, coding (CPT, ICD-10), insurance verification, and reimbursement processes. Knowledge and familiarity with ProFee coding for ambulatory care practices.
• Soft Skills: Excellent communication, problem-solving, and customer service skills.
• Analytical Ability: Experience with financial reports, data analysis, and KPI tracking.
• People Oversight: 3+ years’ experience in supervising staff and overseeing workflow functions.
• Ability to function well in a fast-paced and at times stressful environment.