RCM Implementation Account Manager

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

📋 Description

• Facilitate the implementation and onboarding of new RCM clients from the initial kickoff to successful go-live and stabilization.

• Collect and document client workflows, operational needs, payer information, provider data, and billing configurations.

• Create and oversee implementation timelines, deliverables, dependencies, and client action items across multiple simultaneous implementations.

• Coordinate with payer enrollment, ERA/EFT setup, clearinghouse enrollment, EDI configuration, and provider/NPI/TIN setup.

• Identify risks associated with implementation, workflow gaps, and potential issues that could affect revenue prior to go-live.

• Validate system configurations and perform pre-go-live testing for claims, interfaces, reports, and financial workflows.

• Lead kickoff calls, implementation meetings, training sessions, and provide executive-level status updates.

• Collaborate with Operations, Coding, Credentialing/Enrollment, IT, EDI, Finance, and Account Management teams.

• Establish implementation KPIs and track early post-go-live performance, including claim acceptance, clean claim rate, charge lag, payment activity, denials, and A/R trends.

• Develop and maintain implementation documentation, SOPs, workflow diagrams, issue logs, and transition documentation.

⛳️ Requirements

• 3–5+ years of experience in healthcare Revenue Cycle Management (RCM), particularly in physician/professional billing.

• Proven experience in implementing and onboarding new RCM clients from initial kickoff to successful go-live and stabilization.

• Strong knowledge of the complete physician revenue cycle, which includes patient registration, eligibility, charge capture, coding, claim submission, payment posting, denial management, A/R follow-up, and patient collections.

• Experience in gathering and documenting client workflows, operational requirements, payer information, provider data, and billing configurations.

• Capability to develop and manage implementation timelines, deliverables, dependencies, and client action items across multiple concurrent implementations.

• Experience in coordinating payer enrollment, ERA/EFT setup, clearinghouse enrollment, EDI configuration, and provider/NPI/TIN setup.

• Ability to identify implementation risks, workflow gaps, and potential revenue-impacting issues before go-live.

• Experience in validating system configurations and conducting pre-go-live testing, including claims, interfaces, reports, and financial workflows.

• Strong client-facing skills and the ability to lead kickoff calls, implementation meetings, training sessions, and executive-level status updates.

• Ability to work effectively with internal teams such as Operations, Coding, Credentialing/Enrollment, IT, EDI, Finance, and Account Management.

• Strong organizational and project management skills with the capacity to manage deadlines and competing priorities independently.

• Experience in establishing implementation KPIs and monitoring early performance post-go-live, including claim acceptance, clean claim rate, charge lag, payment activity, denials, and A/R trends.

• Ability to create and maintain implementation documentation, SOPs, workflow diagrams, issue logs, and transition documentation.

• Strong analytical and problem-solving skills with proficiency in Excel and healthcare reporting/data analysis.

• NextGen Enterprise experience is required.

• Experience with clearinghouses, payer portals, and EDI workflows is preferred.

• Knowledge of HIPAA, CMS requirements, payer billing guidelines, and healthcare compliance standards.

• Equivalent RCM experience or certifications may be accepted in place of a degree.

🏝️ Benefits

• Company bonus programs for eligible employees.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• 401(k).

• Paid time off.

• Comprehensive benefits package.