Director of RCM Account Management
New
A
Assembly HealthHealthcare Management
RemoteFull-TimeDirector
Salary$70,000 — $90,000 USD
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Job Details
- Experience
- 5+ years in revenue cycle management, medical billing, or healthcare account management
- Required Skills
- Microsoft ExcelAccount Management
Requirements
- 5+ years of experience in revenue cycle management, medical billing, or healthcare account management.
- 3+ years of experience supervising staff and overseeing workflow functions.
- Bachelor’s degree in healthcare administration, Business, or equivalent professional experience.
- Proficiency with RCM software such as NextGen, Athena, eClinicalWorks, or Waystar.
- Expertise in Excel and reporting tools.
- Strong understanding of CPT and ICD-10 coding, insurance verification, and reimbursement processes.
- Knowledge of special programs including ACO, CCM, BHI, and APCM.
- Excellent communication, problem-solving, and customer service skills.
- Ability to analyze financial reports and track KPIs.
- Ability to function in a fast-paced environment.
Responsibilities
- Monitor and analyze KPIs including DSO, Denial Rates, AR Aging, and Net Collections.
- Identify trends and implement solutions to optimize revenue collection and minimize delays.
- Collaborate with internal teams to ensure timely claims submission and payment posting.
- Address payer issues, clearinghouse rejections, and operational bottlenecks.
- Perform root cause analysis and provide education to healthcare providers.
- Ensure compliance with industry regulations including HIPAA, CMS, and payer policies.
- Develop and execute action plans to improve financial outcomes for clients.
- Investigate and resolve client issues related to claims, payments, or system inefficiencies.
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