Account Performance Manager

nimble•Chesterfield, MO

2h•Hybrid

About The Position

nimble solutions (“nimble” and f/k/a National Medical) is currently seeking an Account Performance Manager. nimble provides revenue cycle outsourcing services to ambulatory surgery centers (“ASCs”), surgical practices, surgical hospitals, and anesthesia groups. This is a great opportunity to join a market-leading brand serving a high growth end market while gaining valuable experience working closely with leadership. As the Account Performance Manager, you will oversee, develop, and be accountable for $1-$2 million in client revenue annually. You will be responsible for the production and overall performance of assigned client accounts. You will own and drive account AR plans, flag and escalate to leadership potential gaps and play an active role in solutioning. This individual should have a successful track record of drive for results on client accounts, proven sustained track record of exceeding productivity targets, intermediate to advanced expertise in RCM accounts receivables, claims, overall process and demonstrated ability to solve client account issues and account management.

Requirements

At least 3 years of experience in A/R, with at least 1 year in AR 2 position.
3+ years A/R and claims experience in the healthcare industry.
Strong analytic skills and proven success and track record of driving results and exceeding productivity targets and KPIs (key performance indicators) for clients supported.
Intermediate knowledge of Medicare, Medicaid, Private Insurance, Private Pay, Liability, and Worker’s Compensation requirements and procedures and diagnosis and medical terminology.
Intermediate level of expertise with Microsoft Office Suite.
Knowledge of and ability to comply with HIPAA, HITECH, and patient confidentiality policies.
Intermediate knowledge of the revenue cycle is required, experience with ASC billing preferred.
3+ years’ experience in a variety of RCM practice management systems.

Responsibilities

Is the subject matter expert for the client account, client system and provides high level training on the assigned client account as necessary.
Partners with learning and development to create 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 Assistant Director.
80% working accounts, 20% managing account performance.
Manages, drives, and produces for assigned account. For RCM clients, the target is 50 accounts or greater per day; for PRO clients, the target is 65 or greater accounts per day.
Acts as a resource for all A/R team members for questions regarding billing policies, state guidelines, reimbursement analysis and assists with 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 make suggestions for revisions and updating information.
Experts on specific client accounts.
Monitors, reports, identifies trends for all account activity.
Partners closely with the Client Management Department to pro-actively identify items that may lead to client risk, maintain/exceed client satisfaction, address any questions related to AR/AR performance.