Value-Based RCM

Account Executive

• The Client Executive is responsible for the identification and achievement of client revenue cycle improvement opportunities
• Functioning as an analyst, facilitator, consultant and/or project manager as required within the scope of the identified opportunities
• Responsibilities also include regular collaboration with internal and external stakeholders to produce relevant, reliable, accurate and timely results and deliverables as required for the client relationships being managed
• Use, protect, and disclose patient protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Work collaboratively with RCM Senior Directors and Client Delivery Directors in setting direction of client revenue cycle projects and performance improvement efforts
• Define issues, identify root causes, interpret data, understand data dependencies, goal setting, establish tracking and reporting metrics, update project plans, and provide performance reports and deliverable preparation
• Effectively organize content and format of documents and analyses to facilitate understanding and decision making by RCM and client stakeholders
• Extensive daily client interfacing
• Provide project management, analysis and/or technical expertise for a broad array of Revenue Cycle initiatives
• Synchronize efforts between RCM and other Company business units in support of client revenue cycle performance improvement initiatives
• Develop, implement, analyze, and maintain RCM dashboards, scorecards, status reports and other standard reports
• Produce or develop deliverables for client meetings, presents findings and updates regularly for client and internal stakeholders
• Up to 50% travel may be required as needed for client revenue cycle support purposes

Client Executive

Accounts Receivable

• Identify payment and denial trends and communicate to Supervisor and/or Team Lead
• Perform necessary follow-up to ensure timely resolution of appeals, obtain updated insurance information, identify, and correct billing errors, etc.
• Independently identify and communicate (verbal/written) denial reasons and steps towards resolution
• Handle client, payer, and patient inquiries in a timely and detailed manner
• Maintain working knowledge of current Medicare, Medicaid, and third-party billing, claim form, and appeal requirements
• Maintain current working knowledge of CPT and ICD-10 codes, required modifiers and encounter data, Explanation of Benefits (EOB) reason and remark codes
• Preserve accurate and timely notes in billing system(s), ensuring a clear understanding of the activity transpired
• Utilize payer web sites and /or portals
• Meet department productivity and quality standards
• Exhibit professional behavior and communication skills representative of VBRCM's commitment to superior customer service
• Use, protect, and disclose patient protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Perform other duties as assigned

Client Executive

Accounts Receivable Representative