RCM Account Manager
About The Position
Premise Health is Different on Purpose Premise Health serves large organizations and their people with exceptional healthcare. The result? Better experiences, better health, and better value, all while helping organizations lower their healthcare costs. Premise's mission is to help people get, stay, and be well. Come join us and see for yourself why amazing health starts with amazing healthcare. For more information, visit www.jobs.premisehealth.com. The RCM Account Manager (AM) serves as the strategic partner and primary point of contact for assigned clients, with a core focus on account management, consultative support, and client success. The AM is responsible for proactively managing client relationships, understanding clinic operations, and advising revenue cycle strategies that drive performance improvement and operational efficiency. The AM must possess a deep knowledge of revenue cycle management (RCM) and the key performance indicators (KPIs) that influence client outcomes. This role requires a consultative mindset, capable of analyzing data, identifying trends, and recommending actionable solutions. The AM leads the Accounts Receivable (AR) team—including Billing Specialists and AR Specialists—to ensure timely and accurate claim resolution, while maintaining high levels of client satisfaction and operational alignment. This is a Full Time, remote, RCM Account Manager role.
Requirements
- High School Graduate required, BS preferred or equivalent work experience.
- 3+ years of previous experience in healthcare account management or revenue cycle operations.
- EPIC systems experience desirable.
- Strong knowledge of medical billing including commercial payers, Medicare, Medicaid, workers' compensation, and patient responsibility is highly desirable.
Responsibilities
- Serve as the primary owner of the client and payer relationship, ensuring consistent communication, trust, and alignment.
- Act as a strategic advisor to clinic leadership, providing insights and recommendations to improve revenue cycle performance.
- Lead client onboarding and ongoing engagement, ensuring a seamless experience and clear expectations.
- Analyze client KPIs (e.g., days in A/R, first pass resolution rate, denial trends) and provide tailored recommendations to improve financial outcomes.
- Conduct monthly and quarterly performance reviews with clients, presenting data-driven insights and strategic action plans.
- Prepare and timely deliver monthly and quarterly performance reports to clients and convey trends, risks, and opportunities clearly and proactively.
- Identify root causes of revenue cycle inefficiencies and collaborate with clinics and internal teams to implement corrective measures.
- Direct the AR team's daily activities, ensuring timely follow-up and resolution of unpaid claims.
- Establish and maintain system parameters that support efficient claim submission and payment maximization.
- Utilize system tools to monitor at-risk accounts and initiate appropriate interventions.
- Resolve escalated client and patient concerns with urgency and professionalism.
- Champion client needs internally, advocating for enhancements to processes, systems, and service delivery.
- Collaborate cross-functionally to improve the client experience and support the organization's value proposition.
- Maintain expert-level knowledge of RCM best practices, payer guidelines, and industry trends.
- Provide training and guidance to AR team members to ensure consistent and high-quality service delivery.
- Perform other duties as assigned to support client success and organizational goals.
Benefits
- In addition to competitive pay, Premise offers full-time team members benefits including medical, dental, vision, life and disability insurance, a 401(k) program with company match, paid holidays and vacation time, a company-sponsored wellness program, EAP, access to virtual primary care and virtual behavioral health at no cost for team members and their dependents.
- Additional benefits can be viewed here: https://jobs.premisehealth.com/benefits .
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
