Territory Manager
Acosta
Ophthalmology RCM Account Manager
Assembly Health
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- 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.
Requirements
- 5+ years in revenue cycle management, medical billing, or healthcare account management.
- Bachelor’s degree in healthcare administration, Business, or equivalent years of professional experience.
- Experience with Nextech EMR Software is a plus, payer portals, and reporting tools.
- Strong understanding of medical billing, coding (CPT, ICD-10), insurance verification, and reimbursement processes.
- Knowledge and familiarity with ProFee coding for ambulatory care practices.
- Excellent communication, problem-solving, and customer service skills.
- Experience with financial reports, data analysis, and KPI tracking.
- 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.
Benefits
- Comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
revenue cycle managementmedical billingcodingCPTICD-10insurance verificationreimbursement processesdata analysisKPI trackingfinancial reporting
Soft skills
communicationproblem-solvingcustomer servicerelationship buildingcollaborationleadershiporganizational skillsadaptabilityproactive approachcritical thinking
