Director of Customer Success
Revenue.io
Client Success Manager – RCM
nimble solutions
full-time
Posted on:
Location Type: Hybrid
Location: Irvine • California • 🇺🇸 United States
Visit company websiteJob Level
JuniorMid-Level
About the role
- 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 to ensure customer satisfaction
- Interface with assigned client service staff to ensure the appropriate preparation, analysis and presentation of all client deliverables, ensuring their accuracy and overall quality
- Proactively identifies potential problems with client performance before they occur and develops and implements a plan to eliminate future occurrences
- Ensures that all appropriate resources are available and utilized effectively to maximize account performance
- Monitors, evaluates, and reports on billing effectiveness/cash flow, and makes recommendations to increase productivity and profitability
- Remains current on payment trends and coding, and payer requirement changes. Acts upon variances to explain, correct or enact desired process improvements
- Generates client standard and ad hoc reports to clients, including commentary on the value nimble provides the client
- Develop and execute a centralized, high-performing RCM strategy that aligns with the organization's growth objectives, including new center acquisitions and service line expansion
- Establish, monitor, and report on key performance indicators (KPIs) for the entire revenue cycle (e.g., Days in A/R, Net Collection Rate, Denial Rate, First Pass Acceptance Rate). Implement data-driven strategies for continuous improvement
- Provide regular, comprehensive performance reports, variance analysis, and actionable insights to the executive team, physician partners, and board members
- Oversee and standardize all front-end processes, vendors, direct patient payments, and point-of-service collections to minimize downstream errors
- Ensure timely and compliant charge capture and medical coding (CPT, ICD-10, HCPCS) specific to ASC procedures. Implement internal auditing programs to maintain accuracy and compliance
- Direct all billing, claims submission, and accounts receivable (A/R) follow-up activities to ensure prompt and accurate payment from government and commercial payers
- Lead a robust denial prevention and management program, conducting root cause analysis, implementing corrective actions, and overseeing the timely appeal of denied claims to maximize reimbursement
- Collaborate with the Managed Care team to provide strategic input into payer contract negotiations, ensuring favorable terms, accurate fee schedules, and compliance with all contract language
- Monitor payer performance scorecards to track payment lags, underpayments, and denial trends, promptly engaging payers to resolve systemic issues
Requirements
- Solid background in all aspects of physician revenue cycle management, including at least two years in accounts receivable, coding, or payer contracting
- ASC billing experience preferred
- Proficient knowledge of third-party billing and claims processing procedures, including a solid understanding of the current regulatory environment
- Experience using Practice Management and EMR systems as it relates to production and client reporting.
- Strong analytical and critical thinking skills
- Strong communication skills, verbal and written
- Ability to work with a high degree of independence; must be proactive
- Proven client relationship skills; must be able to work effectively with physicians and senior management
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
revenue cycle managementaccounts receivablemedical codingCPTICD-10HCPCSbillingclaims processingdata analysisperformance reporting
Soft skills
analytical skillscritical thinkingcommunication skillsclient relationship managementproactiveindependencepresentation skillsproblem-solvingteam collaborationleadership
