Assembly Health

Sales

• Drive New Business Growth
• Build and manage a strong pipeline of qualified opportunities using a disciplined sales process
• Effectively communicate Assembly Health’s value proposition to executive-level decision-makers at Private Practices and/or Physician run organizations.
• Develop and execute a strategic territory plan focused on high-value prospects in the region.
• Build a pipeline through combination of outbound prospecting, professional networking, client referrals, and collaboration with Marketing.
• Leverage market insights, industry trends, and competitor intelligence to prioritize accounts and optimize outreach.
• Engage in deep discovery to understand each client’s financial and operational challenges.
• Tailor RCM solutions to meet the unique needs of physician groups, behavioral health providers, or skilled nursing facilities.
• Partner closely with marketing, operations, and client success teams to ensure smooth onboarding and long-term satisfaction.
• Maintain a clean and up-to-date CRM (Salesforce or HubSpot) with accurate data and forecasts.
• Stay current on healthcare reimbursement trends, payer regulations, and RCM innovations.

RCM Sales Director

Credentialing Specialist

• Complete enrollment/credentialing and re-credentialing applications
• Maintain a detailed log of all pending and completed work
• Communicate the results and status of the applications to physicians, payers, managers, and co-workers.
• Maintenance of physician enrollment and CAQH profiles
• Documentation within enrollment database
• Coordinate signatures
• Payer processing and research
• Involves extensive phone work and internet.
• Research and resolve claim issues related to physician enrollment.
• Other tasks as needed.

General

• Support RCM Account Managers with client inquiries and identify areas of improvement.
• Oversee and provide coaching to a multi-disciplinary team of offshore team members.
• Complete complex denials follow-up and appeals and support AR management and payment posting functions.
• Identify, investigate, and resolve unpaid claims.
• Research and resolve payment and adjustment discrepancies.
• Submit claims’ reconsiderations and appeals.
• Research payer policies.
• Resolve patient queries and verify insurance coverage.
• Present reports to Account Managers informing them of offshore KPIs and A/R health status.
• Other tasks as needed.

RCM Team Lead

• Serve as the first point-of-contact for team members needing assistance with their day-to-day claim follow-up and questions
• Provide continuous education and mentorship to peers
• Share expertise, best practices, and strategies for effective collection and claim follow up
• Ensure accurate documentation of collection activities
• Assist team members with proper record-keeping practices and ensuring collection processes are followed as outlined in the organization's SOP. Help team members set and achieve their individual performance goals
• 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
• Contribute to the preparation and the assignment of collection work queues
• Perform daily QA reviews on AR Specialists quantity and quality of work on their assigned accounts
• 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 (individual or departmental) as established by the Manager
• Maintain HIPAA and compliance standards to preserve patient confidentiality
• Other tasks as needed and assigned

Behavioral Health AR Team Lead

Compliance

• Serve as trusted regulatory and operational advisor to skilled nursing and assisted living providers nationwide.
• Monitor, interpret, and communicate industry regulations, reimbursement updates, and emerging trends impacting post-acute care organizations.
• Independently stay ahead of healthcare industry changes and analyze operational and regulatory impacts across all levels of SNF and AL organizations.
• Develop and deliver timely educational content including webinars, presentations, training materials, videos, and industry resources.
• Create thought leadership content through social media engagement, industry articles, client communications, and conference participation.
• Respond to client regulatory and operational questions through the Polaris Group Solution Center hotline and email while ensuring exceptional customer service.
• Conduct regulatory research and provide timely guidance to consultants and clients regarding evolving industry requirements and best practices.
• Perform offsite and onsite medical record reviews, regulatory assessments, and episodic consulting visits as directed.
• Analyze client data and prepare comprehensive reports with actionable recommendations and follow-up strategies.
• Review consultant site visit reports for regulatory accuracy and quality assurance.
• Maintain accurate documentation, reports, calendars, and Solution Center records in accordance with company standards.
• Build strong client relationships through responsive communication, strategic guidance, and professional support.
• Collaborate with internal teams on product development, educational initiatives, and consulting strategies.
• Represent Polaris Group through conferences, speaking engagements, webinars, and professional industry events.
• Identify opportunities for additional consulting services and collaborate with the sales team to support client growth and retention.
• Participate in and lead special projects that support business initiatives, innovation, and organizational growth.
• Perform additional duties and strategic initiatives as assigned to support the evolving needs of the business.

RCM Sales Director

Credentialing Specialist

RCM Team Lead

Behavioral Health AR Team Lead

Senior Regulatory Consultant