Account Manager - RCM

eClinicalWorks•Westborough, MA

55d•$62,500 - $72,500

About The Position

We are eClinicalWorks. We are a privately held leader in healthcare IT, providing comprehensive, cloud based EHR/PRM solutions to medical professionals worldwide to improve workflows and reduce the risk of physician burnout. We care. We are committed to positive change. And that's where you come in. Do you value creativity and innovation? Great, so do we. At eClinicalWorks, we share a passion for improving healthcare through dedication, education, and teamwork. Everyone has that one thing they're really good at. We value your talent and want you to join our fast-paced, fun, and culturally diverse environment. Ready to make a difference? Apply today. Position Overview The Account Manager - Revenue Cycle (AMRC) is a business management position in which the individual is responsible for the financial health and satisfaction of the practice. The AMRC is the primary contact between the internal RCM team members and clients. AMRC works very closely with the Project Managers at eClinicalWorks implementing the integrated EMR-PM solution.

Requirements

Bachelor's Degree required; Master's Degree preferred
Adheres to all company policies and mandatory compliance protocols as required by eCW
A minimum 3+ year years of medical billing experience is required
Knowledge of Medicare, Medicaid, commercial paper and electronic claims processing is required
Knowledge of ICD, CPT, HCPC coding, ability to read ERA/EOBs, post payments and refunds is required
Experience in eligibility verification, familiarity with HIPAA rules is required
Knowledge of multi-specialty billing workflows and requirements is required
Experience with researching billing information pertinent to states and insurances mandates is required
Experience with payer credentialing and enrollment is required
Willing to travel 10-15%
Ability to adapt in a dynamic environment
Strong written and verbal communication skills
Solution oriented
Self-Starter
Time management skills
Strategic thinking skills
Understanding of small, medium and large-scale health organizations
General and custom workflow experience
EHR & Health IT Industry knowledge
Understanding of Software Standards, Regulatory & Compliance

Nice To Haves

CPC or any certification is strongly preferred
eCW knowledge helpful

Responsibilities

Responsible for evaluating the clients billing needs.
Creating and educating customers on best practice workflow.
Responsible for content build in the software to ensure good billing workflows.
Coordinating all practice billing activities with provider office and eCW billing teams.
Work closely with the Implementation team assigned to ensure proper system build and billing setup.
Follow up with clearing house enrollment and assist the practice/CH in the capacity of a facilitator of the enrollment process.
Responsible to set up the client's system and train them on using eClinicalWorks software based on their workflow using best practices of billing.
Daily tracking of operational elements of physician practice: Encounters (open/closed) Claims Payment posting (unposted amounts) ERA Billing questions Enrollment review Clearinghouse reports
Weekly post go-live follow-up
Establish and maintain a working relationship with provider offices and leadership.
Proactively analyzes the client's financial health on a monthly basis to identify reimbursement trends, patterns of denials and to develop an intimate understanding of the factors that are contributing to the clients' financial performance.
Making workflow recommendations to both customer and internal eCW team to improve back-office operation.
Creation of Month End Reporting and submission to provider practices.
Research, document, and train billing teams on specific insurance mandates.
Research and share billing information pertinent to states and insurances.
Perform other duties as assigned.

Benefits

This role will receive a competitive salary and benefits.
The salary for employees hired into this role will be aligned with the range above, exclusive of potential bonuses.
If you are hired, your base salary will be determined based on factors such as professional background, skills, education, and experience.
eClinicalWorks offers a rich suite of benefits which include the following: eighteen days of Paid Time Off per year which scales based on tenure; nine Paid Holidays and one Floating Holiday; insurance for eligible employees which includes medical, dental, vision, basic life, short term disability, long term disability, business travel accident, and accidental death and dismemberment.
As well, we offer a 401(k) plan with a Company safe harbor contribution; Flexible Spending Account for Health Care and Dependent Care for eligible employees; limited personal leave; additional voluntary benefits, including additional insurance (hospital indemnity, critical illness, accident, supplemental life, short term disability buy up, pet), genetic testing, legal plan, and supplemental accidental death and dismemberment; and an annual discretionary bonus for eligible employees.

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