Account Manager

This is a fully remote position, open to applicants in India.

📋 Description

• Act as the main contact and representative for designated U.S. healthcare provider clients.

• Ensure high levels of client satisfaction to foster client retention.

• Aid in achieving goals related to accounts receivable reduction for clients.

• Assist in minimizing denials and enhancing collection performance.

• Guarantee prompt resolution of client issues and operational challenges.

• Keep precise documentation of client conversations and action plans.

• Lead regular operational meetings, client evaluations, and discussions on revenue cycle performance.

• Convey findings, recommendations, and action plans related to the revenue cycle.

• Recognize client issues, reimbursement risks, aging trends, and operational difficulties.

• Monitor and assess accounts receivable metrics, days in A/R, aging inventory, collection rates, net collection percentages, denial rates, clean claim rates, first-pass resolution rates, underpayment trends, and payer performance metrics.

• Analyze revenue cycle trends and propose strategies to enhance reimbursement and cash flow.

• Evaluate outstanding A/R inventories and pinpoint opportunities to expedite collections.

• Investigate payer issues and determine root causes of denials, payment discrepancies, and A/R delays.

• Coordinate corrective action plans and escalate reimbursement issues as necessary.

• Collaborate with teams in Billing, Coding, Accounts Receivable, Payment Posting, Credentialing, Prior Authorization, and Patient Advocacy.

• Facilitate the resolution of escalated payer issues, denials, appeals, reimbursement challenges, and urgent client matters.

• Assist in onboarding, workflow implementation, process improvement initiatives, and client-specific projects.

• Advocate for the effective utilization of technology and automation tools to enhance operational efficiency.

• Drive quantifiable improvements in reimbursement outcomes and operational effectiveness.

⛳️ Requirements

• At least seven (7) years of experience in U.S. Healthcare Revenue Cycle Management.

• A minimum of two (2) years supporting physician practices, medical groups, ambulatory providers, or healthcare management organizations.

• Prior experience in client-facing roles within account management, operations management, revenue cycle management, or relationship management.

• Proven track record in managing accounts receivable performance and driving revenue cycle improvement initiatives.

• Strong understanding of U.S. healthcare revenue cycle operations.

• Knowledge of medical billing and claims processing procedures.

• Familiarity with accounts receivable follow-up and collection strategies.

• Expertise in denials management and appeals processes.

• Understanding of commercial payer reimbursement methodologies.

• Knowledge of Medicare and Medicaid reimbursement practices.

• Familiarity with managed care plans.

• Understanding of provider credentialing and enrollment processes.

• Awareness of HIPAA compliance requirements.

• Knowledge of Practice Management Systems and EHR platforms.

• Exceptional verbal and written communication skills in English.

• Ability to effectively engage with U.S.-based providers and executive stakeholders.

• Experience in conducting client meetings and presenting operational performance reports.

• Strong analytical, organizational, presentation, negotiation, and conflict-resolution abilities.

• Capability to manage multiple client relationships simultaneously.

🏝️ Benefits

• Annual Public Holidays as applicable

• 30 days total leave per calendar year

• Mediclaim policy

• Lifestyle Rewards Program

• Group Term Life Insurance

• Gratuity