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Nimble Solutions

Account Performance Manager - RCM Accounts Receivable

Nimble Solutions, Chesterfield, Missouri, United States, 63005


Who We Are:

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.

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 escalate 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.

What You'll be Responsible for:

People LeadershipIs the subject matter expert for the client account, client system and provides high level training on the assigned client account as necessaryPartners with learning and development to create training curriculum specific to client processes and systemsMentor to Accounts Receivable Representative 1 and Accounts Receivable Representative 2Reporting and Analytics

Runs and pulls together weekly, monthly, quarterly, etc. AR reports for clientsReviews and analyzes reports and data to maximize efficiency and direct focus to appropriate areas of concernIdentify denial trends, report on global payer issues, and recommend recovery plans to Assistant DirectorRCM Process and Expertise

80% working accounts, 20% managing account performanceManages, 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 dayActs 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 claimsMaintains a detailed knowledge of client specific SOWsHelps to drive A/R policies, procedures and best practices and make suggestions for revisions and updating informationClient and Account Performance

Experts on specific client accountsMonitors, reports, identifies trends for all account activityPartners 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 performanceRequirements

Who You Are:

At least 3 years of experience in A/R, with at least 1 year in AR 2 position3+ years A/R and claims experience in the healthcare industryStrong analytic skills and proven success and track record of driving results and exceeding productivity targets and KPIs (key performance indicators) for clients supportedIntermediate knowledge of Medicare, Medicaid, Private Insurance, Private Pay, Liability, and Worker's Compensation requirements and procedures and diagnosis and medical terminologyIntermediate level of expertise with Microsoft Office SuiteKnowledge of and ability to comply with HIPAA, HITECH, and patient confidentiality policiesIntermediate knowledge of the revenue cycle is required, experience with ASC billing preferred3+ 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