RCM Account Manager

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

📋 Description

• Act as the primary liaison for designated clients, fostering and nurturing robust relationships while proactively addressing inquiries and comprehending their unique needs and objectives. Accountable for providing high-quality support and proactive communication.

• Manage the complete billing process for assigned accounts, ensuring the accurate and timely submission of claims; oversee accounts receivable; and resolve denials to facilitate prompt payments.

• Ensure compliance with industry regulations and payer policies, including HIPAA and CMS guidelines.

• Conduct regular RCM client review meetings (weekly or bi-weekly) to evaluate performance, payer trends, and action plans.

• Oversee claim submissions, payment posting, denials, and aging accounts receivable to ensure that targets are achieved.

• Identify trends related to underpayments, delays, and rejections, and drive remediation efforts to resolution.

• Assist with payer enrollment processes and updates to credentialing as necessary.

• Provide cash flow, accounts receivable aging, and denial analytics, including actionable recommendations.

• Monitor key performance indicators (KPIs) and hold stakeholders accountable for improvements.

⛳️ Requirements

• A minimum of 3 years of experience in revenue cycle management, ABA billing, or behavioral health.

• Familiarity with healthcare claims, payer guidelines, EOB/ERA reconciliation, and denial management.

• Excellent communication and relationship-building abilities.

• Experience in ABA billing or behavioral health is highly preferred, including the management of multiple provider accounts or billing groups concurrently.

• Familiarity with Calmanac or Motivity PM systems is strongly preferred.

• Proficient with practice management, clearinghouse, and EHR systems.

• Detail-oriented, numbers-driven, and exceptionally organized.

• Previous experience in a remote work environment with accountability for time management.

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Flexible work schedule and remote work opportunities.

• Comprehensive health, dental, and vision insurance.

• Professional development and training programs.

• Supportive and collaborative work environment.