RCM Account Manager (Sleep Medicine)

Assembly Health•Chicago, IL

10d•$75,000 - $90,000

About The Position

Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity. This is a full-time, exempt position reporting to our Director of RCM Account Management.

Requirements

Experience Required: 5+ years in a client-facing/customer success RCM/billing role
Thorough understanding of Sleep Medicine specialty billing requirements
Payer policies specific to sleep medicine - coverage for in-lab/at home sleep studies, multiple studies, oral appliances, device limitations, etc.
Strong denial management and process improvement skills
Recent eClinicalWorks (eCW) software experience
Proficiency in eCW EBO reports
Strong analytical skills - excel, pivot tables, v-lookup, etc.

Nice To Haves

Multi-Specialty Preferred Experience:
CPC (active certification and in good standing)
If not CPC, other healthcare certification - CPB, CRCP, CRCR, CRCE
State of Virginia and Maryland/DC payer-specific requirements and billing guidelines (Commercial and Government payers)
Trizetto clearinghouse
Reconciling and balancing bank deposits to applied payments in the practice management system

Responsibilities

Client Relationship Management: Serve as the primary point of contact for assigned clients, addressing inquiries and concerns proactively.
Build and maintain strong relationships with healthcare providers and stakeholders.
Conduct regular client meetings to review RCM performance, discuss challenges, and align on financial goals.
Provide ongoing education to clients on RCM processes, industry trends, and regulatory changes.
Revenue Cycle Performance & Optimization: Monitor and analyze key performance indicators (KPIs) such as Days Sales Outstanding (DSO), Denial Rates, AR Aging, and Net Collections.
Identify trends and implement solutions to optimize revenue collection and minimize delays.
Collaborate with internal billing, coding, and collections teams to ensure timely claims submission, payment posting, and follow-ups.
Address payer issues, reimbursement challenges, and operational bottlenecks.
Operational & Financial Oversight: Develop and execute action plans to improve financial outcomes for clients.
Ensure compliance with industry regulations (HIPAA, CMS, payer policies) and best practices.
Provide detailed reporting and insights on revenue cycle health.
Partner with leadership to refine workflows and enhance efficiency.
Issue Resolution & Process Improvement: Investigate and resolve client issues related to claims, payments, or system inefficiencies.
Work cross-functionally with internal teams to drive process improvements.
Identify automation and technology enhancements to streamline operations.