About the role
- 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.
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
- Familiarity with RCM software (e.g., NextGen, Athena, eClinicalWorks, Waystar)
- Strong understanding of medical billing, coding (CPT, ICD-10), insurance verification, and reimbursement processes
- 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.
- medical
- dental
- vision
- 401(k)
- paid time off
- bonuses
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
revenue cycle managementmedical billingcodinginsurance verificationreimbursement processesfinancial reportsdata analysisKPI trackingautomationtechnology enhancements
Soft skills
communicationproblem-solvingcustomer servicerelationship buildingcollaborationleadershiporganizational skillsproactive approachadaptabilityprocess improvement