Lead, Operations Account Management

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

📋 Description

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

• Act as the main operational liaison between client facilities and internal delivery teams.

• Convert client requirements, concerns, and requests into actionable operational priorities and execution strategies.

• Identify operational risks, assess performance trends, and assist in resolving issues to avert revenue loss and service interruptions.

• Ensure precise reporting, clear status updates, and effective communication with stakeholders and client representatives.

• Lead operational initiatives for domestic-only clients as required.

• Analyze statistical reports and dashboards, and formulate and execute corrective action plans.

• Spearhead tactical initiatives aimed at enhancing operational efficiency and optimizing reimbursement processes.

• Respond to client inquiries swiftly and escalate risks such as unbilled accounts, claims issues, and operational hurdles.

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

• Comprehend contract terms and ensure that billing, invoicing, and service delivery align with negotiated stipulations.

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

• Assist with monthly invoicing, verify supporting details, and resolve discrepancies.

• Recruit, screen, select, orient, coach, mentor, and provide feedback to team members.

• Manage performance evaluations, training, job descriptions, staff records, policies, and compliance for direct reports.

• Perform other duties as assigned.

⛳️ Requirements

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

• 5+ years of experience in hospital revenue cycle operations with substantial exposure to billing, follow-up/collections, and claim resolution.

• Proficient understanding of insurance regulations, reimbursement practices, coding for procedures and diagnoses, and automated billing workflows.

• Capability to resolve issues, including complex account research, root cause analysis, and implementing corrective actions.

• Strong written and verbal communication skills suitable for client interaction.

• Exceptional critical thinking, organizational, and time-management abilities, with a keen focus on detail, accuracy, and follow-through.

• Proficiency in Microsoft Office (Excel, Outlook, Word) and various systems and reporting outputs.

• Preferred: 2+ years of Medicare hospital billing experience and/or expertise with government payers.

• Preferred: Experience with hospital billing platforms and/or EHR/RCM systems such as Thrive, Epic, or Cerner.

• Preferred: Advanced skills in revenue cycle analytics.

• Preferred: Experience in client management, escalations, service recovery, and cross-functional coordination.

• Preferred: Familiarity with invoicing processes, contract compliance validation, and operational performance governance.

• Must maintain confidentiality regarding patient and client information.

• Must adhere to applicable employment laws, HIPAA, ERISA, and other regulations.

🏝️ Benefits

• 3% annual bonus

• Equal opportunity employment