Revenue Cycle Account Manager, Community & Specialty Oversight

Mass General Brigham Health Plan, Inc.; Somerville (MA); Hybrid; USD 70,000 - 100,000; Full time

Job summary

A leading healthcare organization is seeking a Revenue Cycle Account Manager to be the key liaison between hospital sites and revenue operations. This hybrid position involves analyzing performance data, optimizing revenue cycle processes, and coordinating with multiple departments to ensure billing efficiency. Candidates should have strong healthcare experience, preferably 3 years in revenue operations, along with excellent communication and analytical skills.

Qualifications

• Minimum 3 years’ experience in a healthcare setting.
• Proficiency in Microsoft Office and preferably EPIC.
• Ability to learn electronic systems and healthcare billing principles.

Responsibilities

• Manage communication between hospital sites and the RCO.
• Analyze performance data and provide necessary reports.
• Collaborate with various departments to optimize revenue cycle processes.

Skills

Understanding of healthcare billing

Finance

Accounting

Communication

Training

Analytical skills

Problem-solving skills

Education

Bachelor’s degree or equivalent experience

Tools

Microsoft Office

EPIC

Job description

Revenue Cycle Account Manager, Community & Specialty Oversight

Job Summary

Working under the general direction of the RCO Revenue Manager, the Revenue Cycle Account Manager serves as the primary contact between designated hospital sites and practices and the RCO for all aspects relating to hospital revenue cycle. Responsibilities include managing communication with sites, analyzing performance data, supporting system integration, and collaborating with various departments to optimize revenue cycle processes.

Principal Duties and Responsibilities

• Establish and maintain effective communication with assigned sites to identify and address business needs.
• Provide analysis and reports on performance data, including projections and budget comparisons.
• Assist with statistical analysis and recommend solutions for performance variances.
• Support integration of new providers and practices, ensuring accurate billing setup and compliance.
• Develop standardized operational procedures, reports, and quality measures.
• Monitor site activity using EPIC dashboards and reports, ensuring service standards are met.
• Collaborate with departments such as Patient Financial Services, Coding, and Payer Relations to ensure revenue processing efficiency.
• Participate in department and site meetings and contribute to committees as assigned.

Qualifications

• Bachelor’s degree preferred or equivalent experience.
• Minimum 3 years’ experience in a healthcare setting, preferably hospital revenue operations.
• Proficiency in Microsoft Office; EPIC experience preferred.
• Ability to learn electronic systems and healthcare billing principles.

Skills/Abilities/Competencies

• Understanding of healthcare billing, finance, and accounting.
• Excellent communication and training skills.
• Ability to manage multiple tasks effectively.
• Strong analytical and problem-solving skills.

Additional Details

This position is remote with quarterly in-office visits, requires safety precautions, and involves typical office and healthcare environment conditions.

Mass General Brigham is an Equal Opportunity Employer. For accommodations, contact Human Resources at (857)-282-7642.