Group Lead, Operations Account Management

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

📋 Description

• Manage the daily operational performance, action plans, battle cards, and key KPIs for assigned clients.

• Act as the main senior operational contact for clients.

• Convert client requirements, issues, and requests into prioritized operational actions and execution strategies.

• Recognize operational risks and performance patterns and direct corrective measures accordingly.

• Guarantee precise reporting, consolidated performance insights, and clear status updates.

• Lead operational efforts for domestic clients within assigned accounts.

• Analyze dashboards and performance data to detect trends, risks, and deficiencies.

• Implement corrective action plans to enhance results.

• Enhance operational efficiency and reimbursement optimization through standardization, alignment of workflows, issue triage, and collaborative efforts across functions.

• Ensure uniform execution standards across teams and client portfolios.

• Build and maintain trusted relationships with client operational stakeholders.

• Take ownership of and escalate significant operational risks, providing timelines and mitigation strategies.

• Collaborate with operations, finance, payer relations, technology, and strategic client management teams.

• Ensure execution aligns with contractual obligations, billing standards, and service-level agreements.

• Stay informed about hospital billing systems, government payer programs, reimbursement policies, and regulations.

• Uphold the confidentiality of patient and client information.

• Attend necessary meetings and remain updated on industry trends and regulatory changes.

• Supervise customer invoicing accuracy and assist with monthly invoicing processes.

• Recruit, screen, and select candidates for positions.

• Onboard new hires and ensure appropriate hiring strategies are in place.

• Manage performance evaluations, feedback, and reviews.

• Keep job descriptions current and maintain accurate staff records.

• Contribute to organizational development and training initiatives.

• Mentor, guide, and coach direct reports.

• Communicate corporate matters and enforce internal policies and procedures.

• Adhere to employment laws and regulations.

⛳️ Requirements

• Bachelor’s degree or a comparable combination of education and relevant experience.

• Over 7 years of progressive experience in hospital revenue cycle operations, showcasing leadership in billing and collections functions.

• At least 5 years of managerial experience.

• Advanced knowledge of insurance regulations, reimbursement practices, coding interfaces, and automated billing workflows.

• Proven capability to lead complex issue resolution, systemic root-cause analysis, and corrective actions across multiple teams.

• Excellent executive-level communication skills.

• Strong analytical, organizational, and prioritization abilities.

• Advanced proficiency in Microsoft Office tools (Excel, Outlook, Word).

• Comfortable interpreting reports from multiple sources.

• Preferred: Bachelor’s or Master’s degree in Healthcare Administration, Business, Finance, or a related discipline.

• Preferred: Over 5 years of Medicare hospital billing experience with demonstrated expertise in dealing with government payers.

• Preferred: Experience supporting various hospital billing platforms and/or EHR/RCM systems (e.g., Thrive, Epic, Cerner).

• Preferred: Advanced experience in revenue cycle analytics, including KPI governance, trend analysis, and executive reporting.

• Preferred: Previous experience in senior operational leadership, client escalations, service recovery, and cross-functional governance.

• Preferred: Experience overseeing invoicing processes, validating contract compliance, and operational performance frameworks.

🏝️ Benefits

• Full-time employment.

• Compliance with Equal Employment Opportunity standards.

• Adherence to HIPAA and ERISA regulations.

• Support for employee orientation and engagement initiatives.

• Performance feedback and annual performance reviews.

• Opportunities for organizational development and training programs.

• Mentorship, guidance, and coaching provided.

• No travel required (travel requirement section indicates none).