nimble solutions

Accounts Receivable

• People Leadership
• Responsible for meeting Budget/forecast
• Aged AR less than 20%
• Productivity and 95% or above QA expectations
• Leads, develops, and assists Assistant Directors, Account Performance Managers, and Accounts Receivable Representatives with daily responsibilities
• Drives performance through established department KPIs (key performance indicators) and holds the team accountable
• Ensures Assistant Directors/Managers provide leadership and drive the training plan for new Accounts Receivable team members (in partnership with the training team)
• Develops and coaches underperforming team members by providing direct feedback and coaching
• Accountable for driving team members to meet and exceed goals and provide detailed feedback to the team and leadership if the goals are not met
• Partners with the analytics team to review and analyze reports and data to maximize efficiency and direct focus to appropriate areas of concern
• Reviews data and creates and drives action plans to resolve accounts and issues
• Identify denial trends, report on global payer issues, and implement recovery plans
• Ensures the team is creating and executing reports weekly, monthly, quarterly, etc.

Director, Accounts Receivable

Customer Success Manager

• Serve as the primary point of contact for assigned clients and promptly respond to all client inquiries
• Engage in regular client interaction via e-mail, conference calls, and in-person visits
• Interface with assigned client service staff to ensure appropriate preparation and presentation of client deliverables
• Proactively identify potential problems with client performance
• Ensure all appropriate resources are available and utilized effectively
• Monitor, evaluate, and report on billing effectiveness/cash flow

Client Success Manager

• Is the subject matter expert for the client account and client system, and provides high-level training on the assigned client account as necessary
• Partners with learning and development to create a training curriculum specific to client processes and systems
• Mentor to Accounts Receivable Representative 1 and Accounts Receivable Representative 2
• Runs and pulls together weekly, monthly, quarterly, etc. AR reports for clients
• Reviews and analyzes reports and data to maximize efficiency and direct focus to appropriate areas of concern
• Identify denial trends, report on global payer issues, and recommend recovery plans to the Assistant Director
• 80% working accounts, 20% managing account performance
• Manages, drives, and produces for the assigned account
• Acts as a resource for all A/R team members for questions regarding billing policies, state guidelines, reimbursement analysis, and assists with the resolution of challenging accounts and claims
• Maintains a detailed knowledge of client-specific SOWs
• Helps to drive A/R policies, procedures, and best practices, and makes suggestions for revisions and updating information
• Experts on specific client accounts
• Monitors, reports, and identifies trends for all account activity
• Partners closely with the Client Management Department to proactively identify items that may lead to client risk, maintain/exceed client satisfaction, and address any questions related to AR/AR performance

Account Performance Manager, Accounts Receivable

• Oversee, develop, and be accountable for a Line of Business (ASC) and lead a POD team structure of 5-15 individuals
• Partner with offshore leadership and PDO teams, responsible for $2-$3 million in revenue
• Leads, develops, and assists A/R Representatives and Account Performance Managers with client account performance
• Partners with Learning and Development to create an onboarding and training framework
• Develops inexperienced or underperforming employees and provides feedback and coaching
• Monitors performance through established department KPIs and holds the team accountable
• Partners with the analytics team and Account Performance Managers to review and analyze reports and data
• Acts as a resource for all A/R team members for questions regarding billing policies, state guidelines, reimbursement analysis
• Serves as one of the primary points of contact for assigned clients and promptly responds to all client inquiries

Manager, Accounts Receivable – Healthcare Revenue Cycle

Data Engineer

• Design, build, and optimize ETL/ELT pipelines using Azure Synapse, Databricks, and Snowflake
• Develop robust data models and schemas for healthcare datasets, including claims, EMR/EHR, HL7, and FHIR standards
• Write and optimize SQL queries for performance across large healthcare datasets
• Implement data governance, quality frameworks, and HIPAA compliance controls
• Collaborate with analytics, data science, and business teams to define data requirements
• Monitor and troubleshoot data pipeline health and performance
• Develop Python or Scala code for complex transformations and data processing
• Support Power BI and analytics teams with data modeling and performance optimization
• Document data lineage, transformations, and technical architecture

Manager

• Manage all aspects of the coding quality program, including development and oversight of standard operating procedures, sampling methodology, scoring, and performance management processes
• Monitor QA scores for offshore coding resources by specialty and client, ensuring accuracy and compliance
• Provide feedback to operations teams and support the development of corrective action plans based on quality review outcomes
• Analyze trends from prospective and retrospective reviews to identify educational needs and guide training initiatives for offshore coding staff
• Develop and implement client-specific QA plans, including ongoing monitoring, remediation, and follow-up
• Prepare client-facing reports that summarize quality scores, trends, and related action plans
• Collaborate with business units to build an integrated team approach that supports both client requirements and coder performance
• Serve as subject matter expert for coding inquiries, with expertise in Ambulatory Surgery Centers as well as Professional Fee Services

Director, Accounts Receivable

Client Success Manager

Account Performance Manager, Accounts Receivable

Manager, Accounts Receivable – Healthcare Revenue Cycle

Data Engineer

Manager, Coding Quality – Assurance