Senior Account Executive

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

📋 Description

• Act as the main contact for assigned clients, fostering strong and enduring relationships.

• Maintain regular communication with clients to grasp their needs, resolve issues, and update them on RCM performance.

• Anticipate client concerns and proactively tackle potential challenges.

• Manage the complete revenue cycle process, encompassing charge capture, coding, claims submission, payment posting, denial management, and accounts receivable follow-up.

• Collaborate with clients to pinpoint opportunities for operational streamlining, enhancement of billing accuracy, and revenue collection growth.

• Ensure adherence to industry regulations (e.g., HIPAA, CMS) and client-specific policies.

• Monitor, analyze, and report on key performance indicators (KPIs) associated with the revenue cycle.

• Create and present client-specific reports that offer insights into revenue trends, outstanding accounts, and operational performance.

• Utilize data to foster process improvements and propose recommendations for increased efficiency and profitability.

• Investigate and promptly resolve any escalated billing or collection issues.

• Work in conjunction with internal teams (coding, billing, compliance, etc.) to address intricate client concerns.

• Ensure timely follow-up and resolution of denied or rejected claims.

• Stay informed about industry trends, regulations, and technologies to maintain a competitive advantage.

• Suggest process enhancements and implement best practices to optimize the RCM workflow.

• Contribute to the development of internal process documentation and training resources.

⛳️ Requirements

• Bachelor’s degree in Healthcare Administration, Business, or Finance; however, relevant experience in the industry will also be considered.

• Experience in Anesthesia or Ophthalmology RCM is mandatory.

• Relevant certifications (e.g., Certified Revenue Cycle Professional – CRCP) are preferred.

• Minimum of 5 years’ experience in Revenue Cycle Management or related healthcare finance roles.

• Demonstrated experience in managing client relationships effectively.

• In-depth understanding of healthcare billing, coding, compliance, and insurance processes.

• Capacity to analyze complex data and deliver actionable insights.

• Strong communication, negotiation, and interpersonal abilities.

• Exceptional customer service skills with the ability to build strong client relationships to ensure satisfaction and retention.

• Proven ability to navigate high-pressure situations and professionally handle client escalations and issues.

• Outstanding problem-solving skills and meticulous attention to detail.

• Ability to prioritize and manage multiple demands in a fast-paced, client-oriented environment.

• Proficient in working and communicating effectively with a diverse range of individuals, including department managers, staff, physicians, patients, and clients.

• Advanced proficiency in RCM software and Microsoft Office Suite, with strong Excel skills (pivot tables, formulas, data analysis, and reporting).

• Experience in leveraging data analytics, technology, and process improvement initiatives to boost efficiency and accuracy.

• Adaptability to changes in regulations, technologies, and industry trends, and ability to adjust revenue cycle management strategies accordingly.

• Competence in monitoring team performance and making necessary adjustments to enhance both team and individual performance.

🏝️ Benefits

• Occasional travel may be necessary based on client requirements.