RCM Account Manager (Ophthalmology)

What You Will Do

Client Relationship Management:

• Serve as the primary point of contact for assigned Nextech 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.
• Education: Bachelor’s degree in healthcare administration, Business, or equivalent years of professional experience.
• Technical Skills: Experience with Nextech EMR Software is a plus, payer portals, and reporting tools. Other RCM software experience also preferred (e.g., Nextgen, Athena, eClinicalWorks).
• 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.  
• Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.  

The salary range for this position is: $65,000 - $95,000. Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. The expected salary range for this position reflects these considerations and may vary accordingly. In addition to base pay, eligible employees may have the opportunity to participate in company bonus programs. We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more.