Client Success RCM Director

nimble solutions; Irvine (CA); Hybrid; USD 150,000 - 190,000; Full time

Benefits offered by this job

Hybrid work model

Onsite 1-2 days/wk in Irvine

Job summary

nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers, surgical clinics, surgical hospitals, and anesthesia groups. The Client Success RCM Director is responsible for the overall management, servicing, and profitability of assigned client accounts and for meeting established objectives.

The role functions as an account executive and as the primary liaison between their client and nimble Solutions, with a hybrid work model requiring 1-2 days

Qualifications

• Solid background in physician revenue cycle management and at least two years in AR, coding, or payer contracting.
• Experience with ASC billing and regulatory environment is preferred.
• Experience using Practice Management and EMR systems for reporting.

Responsibilities

• Serve as primary contact for assigned clients and manage inquiries.
• Lead strategic RCM initiatives and monitor KPIs like A/R days and denial rate.
• Prepare client deliverables, reports, and executive summaries.

Skills

Client relations

Analytical thinking

Communication

Leadership

Proactive

Healthcare RCM

Education

Bachelor's degree in Healthcare Admin

Tools

Practice Management Systems

EMR systems

Billing software

Job description

This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high growth mode through acquisition with a laser focus on positive culture building!

Who we are!

nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle.

The Client Success RCM Director is responsible for the overall management, servicing, and profitability of assigned client accounts and for meeting established objectives for their client. The Client Success RCM Director is responsible for organizing, managing, coordinating, and communicating the activities of the account to the invested parties. This role functions as an account executive and as the primary liaison between their assigned client and nimble Solutions.

What you’ll be responsible for!

• Serve as the primary point of contact for assigned clients and promptly respond to all client inquiries
• Engage in regular client interaction via e-mail, conference calls, and in-person visits to ensure customer satisfaction
• Interface with assigned client service staff to ensure the appropriate preparation, analysis, and presentation of all client deliverables, ensuring their accuracy and overall quality
• Proactively identifies potential problems with client performance before they occur and develops and implements a plan to eliminate future occurrences
• Ensures that all appropriate resources are available and utilized effectively to maximize account performance
• Monitors, evaluates, and reports on billing effectiveness/cash flow, and makes recommendations to increase productivity and profitability
• Remains current on payment trends and coding, and payer requirement changes. Acts upon variances to explain, correct, or enact desired process improvements
• Generates client standard and ad hoc reports to clients, including commentary on the value nimble provides the client

Strategic Leadership & Financial Oversight

• RCM Strategy: Develop and execute a centralized, high-performing RCM strategy that aligns with the organization's growth objectives, including new center acquisitions and service line expansion
• Performance Optimization: Establish, monitor, and report on key performance indicators (KPIs) for the entire revenue cycle (e.g., Days in A/R, Net Collection Rate, Denial Rate, First Pass Acceptance Rate). Implement data-driven strategies for continuous improvement
• Executive Reporting: Provide regular, comprehensive performance reports, variance analysis, and actionable insights to the executive team, physician partners, and board members

Revenue Cycle Operations Management

• Front-End Management (Patient Access): Oversee and standardize all front-end processes, vendors, direct patient payments, and point-of-service collections to minimize downstream errors
• Coding & Charge Capture: Ensure timely and compliant charge capture and medical coding (CPT, ICD-10, HCPCS) specific to ASC procedures. Implement internal auditing programs to maintain accuracy and compliance
• Billing & Collections: Direct all billing, claims submission, and accounts receivable (A/R) follow-up activities to ensure prompt and accurate payment from government and commercial payers
• Denial and Underpayment Management: Lead a robust denial prevention and management program, conducting root cause analysis, implementing corrective actions, and overseeing the timely appeal of denied claims to maximize reimbursement

Payer Relations and Contracting

• Payer Contract Management: Collaborate with the Managed Care team to provide strategic input into payer contract negotiations, ensuring favorable terms, accurate fee schedules, and compliance with all contract language
• Reimbursement Integrity: Monitor payer performance scorecards to track payment lags, underpayments, and denial trends, promptly engaging payers to resolve systemic issues

Who you are!

• Solid background in all aspects of physician revenue cycle management, including at least two years in accounts receivable, coding, or payer contracting
• ASC billing experience preferred
• Proficient knowledge of third-party billing and claims processing procedures, including a solid understanding of the current regulatory environment
• Experience using Practice Management and EMR systems as it relates to production and client reporting.
• Strong analytical and critical thinking skills
• Strong communication skills, verbal and written
• Ability to work with a high degree of independence; must be proactive
• Proven client relationship skills; must be able to work effectively with physicians and senior management

Logistics!

• Hybrid Setting - this role requires 1-2 days per week onsite at the client in Irvine, CA
• Participates in departmental, training, and staff meetings
• Adhere to all compliance and company policies and procedures