Group Lead – Operations Account Management

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

📋 Description

• Supervise daily operational performance, battle cards, action plans, and key KPIs for assigned clients, which include A/R days, cash performance, denial trends, and accuracy metrics.

• Act as the main senior operational liaison for clients, facilitating communication between client stakeholders and internal delivery teams.

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

• Spot operational risks and performance trends, guiding corrective actions to avert revenue loss and service interruptions.

• Ensure precise reporting, consolidated performance insights, and transparent status updates for both internal leadership and client stakeholders.

• Manage operational tasks for domestic clients within assigned accounts.

• Analyze dashboards and performance data to detect trends, risks, and shortcomings; spearhead corrective action plans.

• Enhance operational efficiency and reimbursement optimization through standardization, workflow alignment, issue resolution, and cross-functional teamwork.

• Maintain consistent execution standards across teams and client portfolios.

• Nurture client relationships, resolve issues, and handle significant operational escalations with mitigation strategies.

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

• Ensure that execution conforms to contractual obligations, billing standards, and service-level agreements.

• Supervise customer invoicing accuracy and assist in monthly invoicing processes; validate documentation and resolve discrepancies.

• Recruit, screen, and select candidates; onboard new hires and uphold suitable hiring plans.

• Oversee employee performance, feedback, reviews, training, development, and corrective measures.

• Mentor, guide, and coach direct reports.

• Implement internal policies and procedures while ensuring the accuracy of staff data.

• Participate in mandatory meetings and stay updated on industry trends, regulatory changes, and operational best practices.

• Execute additional responsibilities as assigned.

⛳️ Requirements

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

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

• More than 5 years of managerial experience.

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

• Proven ability to lead complex issue resolution, perform systemic root-cause analysis, and implement multi-team corrective actions.

• Strong executive-level communication skills, capable of clearly and effectively presenting operational insights, risks, and recovery strategies.

• Excellent analytical, organizational, and prioritization abilities with a demonstrated capability to manage competing demands.

• Advanced proficiency in Microsoft Office tools (Excel, Outlook, Word) and the ability to interpret multi-source reporting comfortably.

• Maintain current knowledge of hospital billing systems, government payer programs, third-party reimbursement policies, and relevant federal and state regulations.

• Uphold strict confidentiality of patient and client information.

• Adhere to Equal Employment Opportunity laws, HIPAA, ERISA, and other applicable regulations.

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

• Preferred: Over 5 years of Medicare hospital billing experience and knowledge of government payers.

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

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

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

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

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health, dental, and vision insurance.

• Retirement savings plans with company match.

• Generous paid time off and holiday schedule.

• Professional development and continuing education opportunities.