RCM Account Manager

Assembly Health

6d•$70,000 - $90,000•Onsite

About The Position

We are looking for a Revenue Cycle Account Manager to join our Physician RCM division. This is a full-time, exempt position reporting to our Director of RCM Account Management. The role involves serving as the primary point of contact for assigned clients, building and maintaining strong relationships with healthcare providers, conducting regular client meetings to review RCM performance, and providing ongoing education on RCM processes, industry trends, and regulatory changes. The position also requires monitoring and analyzing key performance indicators (KPIs) to optimize revenue collection, collaborating with internal teams to ensure timely claims submission and payment posting, addressing payer issues, and developing action plans to improve financial outcomes for clients. Ensuring compliance with industry regulations and providing detailed reporting are also key aspects of this role. The ideal candidate will investigate and resolve client issues, work cross-functionally to drive process improvements, and identify automation and technology enhancements.

Requirements

5+ years in revenue cycle management, medical billing, or healthcare account management.
Bachelor’s degree in Healthcare Administration, Business, or equivalent years of professional experience.
Familiarity with RCM software (e.g., ModMed, Epic, Athena, eClinicalWorks), payer portals, and reporting tools.
Strong understanding of medical billing, coding (CPT, ICD-10), insurance verification, and reimbursement processes.
Knowledge and familiarity with ProFee coding for ambulatory care practices.
Excellent communication, problem-solving, and customer service skills.
Experience with financial reports, data analysis, and KPI tracking.
3+ years’ experience in supervising staff and overseeing workflow functions.
Ability to function well in a fast-paced and at times stressful environment.
Prolonged periods of sitting at a desk and working at a computer.
Ability to lift and carry items weighing up to 10 pounds at times.

Responsibilities

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.
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.
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.
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.