Assembly Health

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.
• Monitor and analyze key performance indicators (KPIs) such as Days Sales Outstanding (DSO), Denial Rates, AR Aging, and Net Collections.
• Develop and execute action plans to improve financial outcomes for clients.

RCM Account Manager – Sleep Medicine

Call Center Representative

• Answer patient calls/questions
• Updating and billing insurance
• Take Credit card payments
• Trying to resolve any concerns/issues on patient accounts
• Work with collection agencies for requests to remove from collections
• Respond to Attorney requests for balances and correspondence as well as update and bill insurance
• Primary escalation from our Call Center staff
• Answering escalated phone calls from our Call Center offshore team
• Assist in educating the offshore call center staff
• Update patient demographics
• Other tasks and projects as determined by your manager

Medical Billing Call Center Team Lead

• 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.
• Utilize Salesforce as the primary CRM to manage accounts, track client engagement activities, maintain accurate customer data, and log client escalations.
• Assist with the onboarding of new clients by helping coordinate meetings, gathering and tracking documentation, and ensuring internal teams are aligned on next steps.
• 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, Behavioral Health

• Manage and develop Provider Relations Team Leads and senior specialists
• Set clear expectations, goals, and KPIs for the Provider Relations team
• Coach leaders on workload management
• Serve as a point of contact for assigned clients
• Conduct regular client meetings to review provider enrollment and credentialing data
• Oversee all provider enrollment, credentialing, and re-credentialing activities
• Ensure effective tracking, reporting, and documentation of enrollment status
• Identify and implement process improvements to streamline workflows
• Provide executive-level updates and reporting to leadership

Provider Relations Manager

Program Manager

• Oversee and scale offshore Revenue Cycle Management (RCM) operations supporting Skilled Nursing Facility (SNF) clients
• Serve as the primary point of contact for offshore RCM vendors and delivery teams
• Own vendor governance including performance management and SLA adherence
• Lead regular operational reviews (daily/weekly/monthly) with offshore leadership
• Design, document, and implement standard operating procedures (SOPs) across offshore RCM functions
• Develop and maintain staffing ratios and productivity benchmarks by function and client type
• Lead cross-functional initiatives related to new client onboarding and transitions
• Define and track KPIs related to offshore performance, including productivity and quality metrics.

Offshore RCM Program Manager – SNF

Billing Specialist

• Enter and verify patient demographics, insurance details, and charges for accuracy.
• Review documentation to ensure services are billable and meet payer requirements.
• Apply appropriate CPT, HCPCS, and ICD-10 codes based on documentation.
• Ensure timely and compliant submission of claims to payers.
• Identify and correct errors to minimize claim rejections and denials. Monitor and address charge entry-related rejections or edits in billing systems.
• Communicate with internal teams to resolve charge discrepancies.
• Assist with claim resubmissions and billing-related inquiries as needed.
• Maintain data integrity and confidentiality per HIPAA guidelines.
• Reconcile daily charge entry logs to confirm all services are captured.
• Other tasks as needed.

Behavioral Health Billing Specialist

• Lead, mentor, and manage 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 the primary 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.
• Serve as primary point of contact for our offshore portfolio, including vendor management, SOPs, staffing needs, and general project management to optimize our offshore A/R processes.
• Monitor the billing performance of each SNF in the portfolio, identifying trends, potential issues, and opportunities for improvement.
• Develop customized strategies for each client to optimize billing processes, reduce claims denials, and maximize collections.
• 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.
• Other tasks and projects as needed and assigned.