Revenue Cycle Transition Manager

Shoreline Healthcare Technologies; United States; Hybrid; USD 70,000 - 100,000; Full time

Job summary

Shoreline Healthcare Technologies in the United States is seeking an experienced Account Manager to be the primary liaison for healthcare clients, overseeing end-to-end Revenue Cycle Management operations, including eligibility, coding, billing, A/R follow-up, and denial management.

You will maintain strong client relationships, monitor KPIs, drive service delivery excellence, and coordinate with offshore/onshore teams as needed to ensure timely, accurate results.

Qualifications

• Bachelor's degree in Healthcare or related field.
• 4+ years in RCM or healthcare revenue cycle operations.
• Strong knowledge of U.S. billing practices (commercial, Medicare, Medicaid, BCBS).

Responsibilities

• Serve as the primary contact between the client and internal delivery teams.
• Maintain regular communication with clients to review performance, resolve issues, and gather feedback.
• Monitor RCM metrics and SLAs, and ensure timely reporting.
• Drive continuous process improvement and optimize workflow.
• Coordinate with internal operations teams to ensure timely delivery of services across EV/BV, Coding, Entry, Posting, A/R follow-up and Denial Management.
• Lead weekly/monthly performance review calls with clients.
• Manage and elevate client concerns to senior leadership as needed.
• Collaborate on new client onboarding, transitions, and training.
• Track and manage all client KPIs, reporting, and documentation.
• Support billing audits, special projects, and workflow customizations as needed.

Skills

Relationship management

Communication

Analytical thinking

Cross-functional teamwork

Education

Bachelor's degree in Healthcare

Tools

eClinicalWorks

Epic

AdvancedMD

Optimantra

Job description

Job Summary

We are seeking a highly motivated and experienced Account Manager (AM) to serve as the primary point of contact for our healthcare clients in managing their Revenue Cycle Management (RCM) operations. As part of an outsourced service team, the AM will be responsible for maintaining strong client relationships, ensuring service excellence, monitoring KPIs, and supporting operational delivery across the end-to-end RCM process, including eligibility, coding, billing, A/R follow-up, and denial management.

Key Responsibilities

• Serve as the primary contact between the client and internal delivery teams.
• Maintain regular communication with clients to review performance, resolve issues, and gather feedback.
• Monitor RCM metrics and SLAs, and ensure timely reporting.
• Drive continuous process improvement and identify workflow enhancements to optimize outcomes.
• Coordinate with internal operations teams to ensure accurate and timely delivery of services across:
  • Insurance benefits Verification EV/BV
  • Medical Coding (A/R level)
  • Charge Entry
  • Payment Posting
  • A/R Follow-up
  • Denial Management
  • AR Analyst
• Lead weekly/monthly performance review calls with clients.
• Manage and elevate operational or client concerns as needed to senior leadership.
• Collaborate on new client onboarding, transitions, and training.
• Track and manage all client-specific KPIs, reporting, and documentation.
• Support billing audits, special projects, and workflow customizations as needed.

Required Skills & Qualifications

• Any Bachelors degree (Healthcare - preferred).
• 4+ years of experience in RCM or healthcare revenue cycle operations, preferably in an outsourced setting.
• Strong knowledge of U.S. healthcare billing practices (commercial, Medicare, Medicaid, BCBS All states).
• Excellent communication, interpersonal, and client management skills.
• Proficiency with RCM tools and PM/EHR systems (e.g., eClinicalWorks, Epic, AdvancedMD, Optimantra).
• Strong analytical skills with the ability to interpret performance metrics and dashboards.
• Ability to work cross-functionally with offshore/onshore teams.
• Organized, proactive, and capable of managing multiple client accounts simultaneously.