RCM Account Manager

Responsibilities

• 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, clearinghouse rejection resolution, reimbursement challenges, and operational bottlenecks.
• Perform root cause analysis and provider education as needed and required.
• 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 Excel 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.
• Client Relationship Management:
• Build and maintain strong relationships with healthcare providers and stakeholders.
• Provide ongoing education to clients on RCM processes, industry trends, and regulatory changes.
• Qualifications & Skills:
• Experience: 5+ years in revenue cycle management, medical billing, or healthcare account management. Primary Care, Podiatry, Multi-Specialty specialty knowledge, highly preferred.
• 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, Excel expertise, and reporting tools.
• Knowledge: Strong understanding of medical billing, coding (CPT, ICD-10), insurance verification, and reimbursement processes. Knowledge and familiarity with special programs including ACO, CCM, BHI, APCM, etc.
• 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.
• Who we are!
• Note this job description is not designed to cover or contain a compre

Benefits

Additional Information

Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity. We are seeking a client-focused and results-driven Revenue Cycle Account Manager to serve as a key liaison between our organization and our most valued physician clients. This individual will be responsible for managing day-to-day client relationships, driving satisfaction and retention, and ensuring the successful delivery of Revenue Cycle Management (RCM) services. The ideal candidate is highly organized, proactive, and solution-oriented, with a strong understanding of the end-to-end revenue cycle. They excel at building trust, navigating complex client needs, and partnering cross-functionally to resolve issues and identify growth opportunities. A client-first mindset and strong communication skills are essential, along with a working knowledge of physician RCM best practices. This is a full-time, exempt position reporting to the Senior Director of RCM Account Management.

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