Account Performance Manager

nimble solutions; Chesterfield (MO); Hybrid; USD 90,000 - 120,000; Full time

Job summary

nimble solutions is seeking an Account Performance Manager to oversee and drive revenue for assigned client accounts in the healthcare revenue cycle space. You will manage AR plans, analyze performance, and collaborate with leadership to identify improvement opportunities.

The role requires 3+ years in AR/claims within healthcare, strong analytical skills, and experience with various RCM systems. Hybrid or remote work options in the United States are available.

Qualifications

• At least 3 years of experience in A/R, with at least 1 year in AR 2 position.
• 3+ years A/R and claims experience in healthcare.
• Strong analytic skills and proven success driving results and KPIs for clients.
• Knowledge of Medicare, Medicaid, Private Insurance, Private Pay, Liability, and Worker’s Compensation requirements.
• Intermediate knowledge of HIPAA, HITECH and patient confidentiality policies.
• Intermediate knowledge of the revenue cycle; ASC billing experience preferred.
• 3+ years’ experience in various RCM practice management systems.

Responsibilities

• Oversee AR reports and analyze data to maximize efficiency.
• Drive account performance and manage client accounts.
• Provide expert knowledge on client systems and train team members as needed.
• Mentor Accounts Receivable Representatives and support policy improvements.

Skills

Drives Results

Communicates Effectively

Quality Decision-making

Customer Focus

Tools

Microsoft Office Suite

Job description

Description

nimble solutions(“nimble” and f/k/a National Medical) is currently seeking an Account Performance Manager. nimble provides revenue cycle outsourcing services to ambulatory surgery centers(“ASCs”), surgical practices, surgical hospitals, and anesthesia groups. This is a great opportunity to join a market-leading brand serving a high growth end market while gaining valuable experience working closely with leadership.

Job Type

Full-time

As the Account Performance Manager, you will oversee, develop, and be accountable for $1-$2 million in client revenue annually. You will be responsible for the production and overall performance of assigned client accounts. You will own and drive account AR plans, flag and elevate to leadership potential gaps and play an active role in solutioning. This individual should have a successful track record of drive for results on client accounts, proven sustained track record of exceeding productivity targets, intermediate to advanced expertise in RCM accounts receivables, claims, overall process and demonstrated ability to solve client account issues and account management.

People Leadership

• Is the subject matter expert for the client account, client system and provides high level training on the assigned client account as necessary.
• Partners with learning and development to create training curriculum specific to client processes and systems.
• Mentor to Accounts Receivable Representative 1 and Accounts Receivable Representative 2.

Reporting and Analytics

• Runs and pulls together weekly, monthly, quarterly, etc. AR reports for clients.
• Reviews and analyzes reports and data to maximize efficiency and direct focus to appropriate areas of concern.
• Identify denial trends, report on global payer issues, and recommend recovery plans to Assistant Director.

RCM Process and Expertise

• 80% working accounts, 20% managing account performance.
• Manages, drives, and produces for assigned account. For RCM clients, the target is 50 accounts or greater per day; for PRO clients, the target is 65 or greater accounts per day.
• Acts as a resource for all A/R team members for questions regarding billing policies, state guidelines, reimbursement analysis and assists with resolution of challenging accounts and claims.
• Maintains a detailed knowledge of client specific SOWs.
• Helps to drive A/R policies, procedures and best practices and make suggestions for revisions and updating information.

Client and Account Performance

• Experts on specific client accounts.
• Monitors, reports, identifies trends for all account activity.
• Partners closely with the Client Management Department to pro-actively identify items that may lead to client risk, maintain/exceed client satisfaction, address any questions related to AR/AR performance.

Requirements

• At least 3 years of experience in A/R, with at least 1 year in AR 2 position.
• 3+ years A/R and claims experience in the healthcare industry.
• Strong analytic skills and proven success and track record of driving results and exceeding productivity targets and KPIs (key performance indicators) for clients supported.
• Intermediate knowledge of Medicare, Medicaid, Private Insurance, Private Pay, Liability, and Worker’s Compensation requirements and procedures and diagnosis and medical terminology.
• Intermediate level of expertise with Microsoft Office Suite.
• Knowledge of and ability to comply with HIPAA, HITECH, and patient confidentiality policies.
• Intermediate knowledge of the revenue cycle is required, experience with ASC billing preferred.
• 3+ years’ experience in a variety of RCM practice management systems.

Key Competencies

• Drives Results. Consistently achieves results, even under difficult circumstances. Fosters a sense of urgency in the team for reaching goals and meeting deadlines. Readily takes action on challenges, Identifies, and seizes new opportunities; Leads others to persist despite setbacks or obstacles; Establishes clear responsibilities and processes for monitoring work and measuring results.
• Communicates Effectively. Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences. Provides timely and helpful information to others across the organization; Encourages the open expression of diverse ideas and opinions; Picks up on situational cues and adapts personal, interpersonal and leadership behavior to fit.
• Quality Decision-making. Makes sound decisions, even in the absence of complete information; Considers all relevant factors and uses appropriate decision-making criteria and principles; shows courage in speaking up in driving appropriate decisions for the organization based on sound risk/reward analysis.
• Customer Focus. Gains insight into customer needs; Identifies opportunities that benefit the customer; Builds and delivers messaging and solutions that meet customer expectations.

Location

• Hybrid or Remote