Job Description
The Client Manager position will establish, develop, and nurture lasting relationships by acting as the primary point of contact for the client for all revenue cycle matters. The position must be well-versed or can master and understanding of the core aspects of the EMS industry. The Client Manager requires exceptional \"stage presence\" while conducting Monthly Operating Review calls with the client to review KPIs and other critical metrics that drive performance. The client manager works closely with RCM Ops domestic and global team in addressing any performance-based concerns and is ultimately responsible for responding to all client inquiries related to their assigned markets.
The Client Manager closely monitors all service level agreements (SLAs) to ensure targets are met by holding themselves, the client and Integra’s RCM Ops management team accountable for performance expectations. The position provides consultative recommendations that build and promote strategies to overcome challenges faced within their markets. The position requires the ability to comprehend market nuances, details, and drivers of the assigned territories from an operational, regulatory and compliance perspective.
The position must possess the ability to analyze and interpret complex data. The Client Manager is responsible for identifying drivers that influence both positive and negative trends and recommending solutions as applicable.
Responsibilities
- Function as the key client interface, coordinator and facilitator of communications and services between Ops Rev Cycle and the client.
- Facilitates conference calls with the client that promotes operational improvement by providing key drivers of business unit performance. Communicates and collaborates with leaders in other functional areas to ensure optimal performance of end-to-end revenue cycle operations.
- Provides analysis, reporting and recommendations of revenue cycle performance for key performance metrics.
- Actively participates in the implementation process for the onboarding of new business or market exits. In conjunction with EIS and RCM Operations, this includes timely and accurate documentation/sign off and other related documents, communication of client commitments and expectations to internal partners, interpreting and providing context for client requests, ensuring appropriate review and customer sign‑off, leading site visits and conference calls, and related responsibilities to ensure implementation timelines are met.
- Coordinates or conducts process assessments to highlight areas of business improvement and revenue leakage.
- Possesses in‑depth knowledge of the revenue cycle management industry standards and regulations.
- Develops, builds, and maintains positive business relationships with the clients.
- Maintains knowledge of compliance with state & federal laws, regulations for Medicare, Medicaid, managed care and other third‑party payers.
- Ensures compliance, financial and operational performance targets are met through ongoing collaboration with internal and external stakeholders.
- Participates in the planning, design, implementation, and measurement of quality improvement processes.
- Partners with all levels of management and departments to deliver exceptional support and service.
- Enforces strict procedural and quality standards, including thorough and accurate documentation, claims analysis, and thorough understanding of client technical and service specifications with Operational and Technical teams.
- Utilizes project management skills to track milestones and deliverables, timely recognition/notification of risk indicators, and provides regular status updates to internal and external leadership.
- Adheres to all local, state, and federal compliance rules and regulations.
- Maintains or exceeds service level agreements (SLA) in accordance with terms of client contract.
- Ensure all special projects are completed timely and accurately.
- Mentors and trains staff to facilitate professional growth and development at all levels.
- Proactively identifies and recommends solutions for client and/or operational improvement.
- Clearly communicates progress of initiatives to external and internal stakeholders.
Qualifications
- High School Diploma or GED required; bachelor’s degree in business, Accounting, or Healthcare related field, preferred.
- Five (5) years of medical billing experience required; medical transportation billing experience a plus.
- Three (3) years of prior leadership and/or supervisory experience required.
- Experience leading and/or working with global team a plus.
- Ability to work in dynamic, high‑pressure healthcare operation that requires meeting time‑sensitive deadlines.
- Exhibit strong verbal and written communication skills; must possess strong \"stage presence\" required for routine internal and external stakeholder interaction.
- Competence in critical thinking, organizational management, and problem‑solving skills.
- Demonstrate ability to effectively lead teams and mentor staff to facilitate professional development and growth throughout the organization.
- Command of revenue cycle management principles, including working knowledge of cash posting processes, medical record guidelines, coding, and accounts receivable follow‑up (e.g. HCPCS, CPT, ICD codes).
- Ability to effectively utilize proprietary billing system and internet tools, (e.g., internet mapping programs, eligibility websites, address search engines).
- Knowledge of HIPAA requirements, Sarbanes‑Oxley (SOX) requirements, PHI, and compliance regulations.
- Required skills: Microsoft Outlook, Excel, Power Point, Word
Benefits
- Medical/Dental/Vision Insurance beginning the 1st of the month following your date of hire
- Paid Time Off
- 401k with employer match
- Paid Holidays and Floating Holiday
Equal Opportunity Employer
Equal Opportunity Employer