Assembly Health

Manager

• Lead and inspire a high-performing benefits team, providing hands-on coaching, mentorship, and development to support both individual growth and departmental success.
• Foster a people-first leadership style that cultivates a culture of accountability, collaboration, and continuous improvement.
• Meet weekly with your team to determine issues, trends and provide coaching opportunities as needed.
• Meet bi-weekly with individuals to check on progress, talk through issues, and make sure employees are meeting expectations.
• Oversee and manage the daily execution of Verifications of Benefits (VOBs), ensuring accuracy, timeliness, and alignment with organizational standards and payer requirements including workload delegation.
• Own and optimize end-to-end workflows for VOB processes, reporting, and internal communications to ensure efficiency and consistency across the department.
• Build and monitor key performance indicators (KPIs), team productivity metrics, and quality assurance measures to ensure operational excellence.
• Collaborate cross-functionally with Accounts Receivable, Billing, Payer Relations, and Utilization Review teams to align benefits strategy with patient access and financial outcomes.
• Act as a strategic problem solver, proactively identifying issues in processes or benefit verifications and driving resolution through thoughtful analysis and team coordination.
• Identify, develop and maintain comprehensive documentation for processes, SOPs, and training materials to support team scalability and consistency.
• Conduct department operations in a manner consistent with the overall organization by implementing and maintaining policies and procedures including process improvements when needed.
• Ensure compliance with all HIPAA and confidentiality regulations in all benefit-related communications and documentation.
• Serve as a subject matter expert in the behavioral health payer landscape, including coverage trends, authorization processes, payer-specific nuances, as well as software management and processes that have been put in place.
• Take on additional projects and tasks as assigned.

Behavioral Health Benefits Manager

Billing Specialist

• Lead, mentor, and supervise a team of billing specialists and coordinators responsible for the billing performance of assigned facilities.
• Oversee day-to-day billing operations, ensuring the team submits claims in a timely and accurate manner.
• Provide training, development, and performance feedback to the billing team to ensure adherence to best practices and regulatory compliance.
• Set performance goals for the team, monitor progress, and ensure key metrics such as days in accounts receivable (AR) and collection rates are met.
• Serve as a point of escalation point of contact for a portfolio of SNF customers, ensuring their billing needs are met and addressing any concerns or issues related to billing or revenue cycle management.
• Collaborate with clients to ensure they understand their billing performance, and work with them to resolve any discrepancies or challenges.
• Oversee the submission of claims for the SNF portfolio, ensuring accuracy and compliance with Medicare, Medicaid, and other payer requirements.
• Ensure timely follow-up on unpaid claims, manage denials, and coordinate with insurance providers to resolve disputes.
• Implement best practices in billing operations, continually seeking opportunities to improve the efficiency and effectiveness of billing processes for customers.
• Work closely with executive leadership to develop and refine policies and procedures related to billing and revenue cycle management.
• Ensure that all billing activities are compliant with state and federal regulations, including HIPAA, Medicare, Medicaid, and other third-party payer rules.
• Stay updated with changes in reimbursement models, billing regulations, and industry best practices.
• Conduct regular audits of the billing processes for the SNF portfolio to ensure accuracy and compliance.
• Prepare and present reports on billing performance, revenue collection, and other key financial metrics to senior management and SNF customers.
• Build and maintain strong relationships with clients, acting as a trusted advisor on billing and revenue cycle matters.
• Provide regular communication with customers regarding billing issues, financial performance, and resolution of any disputes.
• Work to proactively resolve issues before they escalate, providing clients with clear communication on their billing status.

SNF Billing Supervisor

• Ensure claims are billed on a timely basis
• Monitor postings and billing to ensure accuracy and compliance with company policies and healthcare regulations
• Work with commercial insurance, Medicare, Medicaid, HMOs and clients to collect all balances
• Manage actions related to delinquent accounts and minimizes write-offs
• Provide technical assistance to staff for training purposes and problem solving
• Achieve performance goals and objectives (individual or departmental) as established by the manager
• Manage resources to meet department goals
• Communicate effectively with all levels of staff
• Other tasks as needed.

SNF Billing Specialist

Account Manager

• 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
• 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
• 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
• 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.

RCM Account Manager

• 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.
• 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.
• 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.
• 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.

Ophthalmology RCM Account Manager

• Lead, mentor, and develop a high-performing team of RCM Account Managers, fostering a client-focused culture of collaboration, accountability, and continuous improvement.
• Partner with the VP of Account Management and General Manager of Physician RCM on staffing evaluations, talent development, and succession planning.
• Supervise cross-functional onshore and offshore teams responsible for all aspects of the revenue cycle, ensuring alignment and excellence across operations, analytics, billing, coding, and compliance functions.
• Serve as the executive liaison for C-suite and board-level stakeholders across top-tier accounts, ensuring expectations are exceeded through proactive engagement and strategic guidance.
• Lead strategic business review meetings and planning sessions for high-value clients in partnership with account managers and internal leadership.
• Collaborate directly with clients to optimize workflows, identify improvement opportunities, and ensure seamless delivery of services aligned with their evolving needs.
• Develop and maintain KPIs, performance metrics, and reporting structures to track service delivery, client satisfaction, and team performance.
• Analyze performance trends, financial data, and client feedback to inform strategic decisions and drive continuous improvement.
• Monitor staff performance trends, provide coaching, and implement quality assurance initiatives to maintain best-in-class service standards.
• Drive account growth and retention by identifying opportunities for new services or expanded partnerships.
• Support contract renewals, pricing discussions, and proposal development for strategic accounts.
• Proactively address risk areas and implement retention strategies for at-risk clients.
• Maintain strong internal communication across departments to ensure alignment and promote knowledge sharing.
• Collaborate with Nextech leadership to report on KPIs, recommend system enhancements, and address challenges or successes within the program.
• Ensure compliance with all applicable government regulations and industry standards.
• Lead or participate in special projects and perform additional duties as needed to support evolving business priorities.

Director, RCM Account Management

• Serve as the primary point of contact for assigned Nextech clients, addressing inquiries and concerns proactively and building/maintaining 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.
• Monitor and analyze 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.
• 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.
• Investigate and resolve client issues related to claims, payments, or system inefficiencies; work cross-functionally with internal teams to drive process improvements and identify automation/technology enhancements.

• Serve as the primary point of contact for assigned clients and address 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
• Monitor and analyze KPIs (Days Sales Outstanding, Denial Rates, AR Aging, Net Collections) and identify trends
• Identify 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
• Develop and execute action plans to improve financial outcomes for clients
• Ensure compliance with HIPAA, CMS, payer policies and best practices
• Provide detailed reporting and insights on revenue cycle health and partner with leadership to refine workflows
• Investigate and resolve client issues related to claims, payments, or system inefficiencies
• Work cross-functionally to drive process improvements and identify automation and technology enhancements
• Full-time, exempt role reporting to the Physician RCM Leadership Team

RCM Account Manager, Skilled Nursing Facility

Accounts Receivable

• Report to the Manager of Accounts Receivable
• Collaborate with insurance providers to monitor outstanding claim status and navigate resolution steps
• Investigate outstanding A/R accounts, determine the cause of the delinquency, and collect payments
• Submit and re-submit claims and conduct follow-up calls ensuring thorough documentation
• Review all documentation the client provides and identify discrepancies
• Identify trends and conduct root cause analyses on unpaid and underpaid claims
• Create monthly reports using Excel that outline insurance denial trends and share with internal management
• Achieve performance goals or objectives as established by the Manager
• Maintain HIPAA and compliance standards to preserve patient confidentiality
• Other tasks as needed

Behavioral Health Accounts Receivable Specialist

• 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
• Monitor and analyze 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
• 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
• 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
• Full-time, exempt position reporting to the Physician RCM Leadership Team

RCM Account Manager, Primary Care

• 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
• 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
• 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
• 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

RCM Account Manager, Podiatry

Human Resources

• Communicate effectively and professionally with insurance company representatives regarding inquiries on patient benefits.
• Obtain patient benefits from insurance companies and properly relay benefit quotes to providers.
• Respond to email correspondence with providers' offices appropriately and in a timely manner.
• Perform other tasks and projects as needed.
• Report to the Benefits Manager; full-time, non-exempt position.

Behavioral Health Benefits Specialist

Collections

• Full time, non-exempt position reporting to the SNF Billing Supervisor
• Work closely with residents and their families to establish a viable payer source beginning from date of entry throughout the resident's stay
• Process Medicaid Applications and re-determinations
• Utilize Utrack to enter all data
• Interact with client and facility staff with professionalism in all facets of customer service
• Prioritize and adjust workload based on the urgency and importance of issues
• Escalate growing balances and/or unresolved time sensitive issues
• Ensure facilities are operating according to procedure and compliance
• Maintain timely communication with directors, administrators, and staff regarding potential issues at the facilities
• Participate in team meetings, committees, and/or conference calls
• May include training new A/R Collections Specialists

Behavioral Health Benefits Manager

SNF Billing Supervisor

SNF Billing Specialist

RCM Account Manager

Ophthalmology RCM Account Manager

Director, RCM Account Management

RCM Account Manager

RCM Account Manager, Skilled Nursing Facility

Behavioral Health Accounts Receivable Specialist

RCM Account Manager, Primary Care

RCM Account Manager, Podiatry

Behavioral Health Benefits Specialist

SNF A/R Collections Specialist