Senior Account Executive – Client Success Manager, Anesthesia-Ophthalmology
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Job Description
Senior Account Executive for revenue cycle management in anesthesia and ophthalmology sectors. Managing client relationships and optimizing RCM processes for financial performance.
Responsibilities:
- Serve as the primary point of contact for assigned clients, ensuring strong, long-term relationships.
- Regularly communicate with clients to understand their needs, address issues, and provide updates on RCM performance.
- Anticipate client concerns and proactively address potential challenges.
- Oversee the entire revenue cycle process, including charge capture, coding, claims submission, payment posting, denial management, and accounts receivable follow-up.
- Work with clients to identify opportunities to streamline operations, improve billing accuracy, and increase revenue collection.
- Ensure compliance with industry regulations (e.g., HIPAA, CMS) and client-specific policies.
- Monitor, analyze, and report on key performance indicators (KPIs) related to the revenue cycle.
- Develop and deliver client-specific reports that provide insights on revenue trends, outstanding accounts, and operational performance.
- Use data to drive process improvements and make recommendations for enhanced efficiency and profitability.
- Investigate and resolve any escalated billing or collection issues promptly.
- Collaborate with internal teams (coding, billing, compliance, etc.) to resolve complex client concerns.
- Ensure timely follow-up and resolution of denied or rejected claims.
- Stay up-to-date with industry trends, regulations, and technologies to maintain a competitive edge.
- Recommend process improvements and implement best practices to optimize the RCM workflow.
- Contribute to internal process documentation and training materials.
Requirements:
- Bachelor’s degree in Healthcare Administration, Business, Finance - however level of experience in the industry also considered.
- Anesthesia/Ophthalmology RCM experience preferred.
- Relevant certifications (e.g., Certified Revenue Cycle Professional – CRCP)
- 5+ years of experience in Revenue Cycle Management or related healthcare finance roles.
- Proven experience in client relationship management.
- Deep understanding of healthcare billing, coding, compliance, and insurance processes.
- Ability to analyze complex data and provide actionable insights.
- Strong communication, negotiation, and interpersonal skills.
- Exceptional customer service skills and ability to cultivate strong relationships with clients to ensure satisfaction and retention.
- Proven capability to handle high-pressure scenarios and professionally address client escalations and concerns.
- Exceptional problem-solving abilities and attention to detail.
- Ability to set and maintain priorities in a fast-paced client-focused environment, with multiple demands and interruptions.
- Ability to work and communicate effectively with a diverse group of people including other department managers, staff, physicians, patients, and the client.
- Advanced proficiency in RCM software and Microsoft Office Suite, including strong Excel skills (pivot tables, formulas, data analysis, and reporting).
- Experience leveraging data analytics, technology, and process improvement initiatives to enhance efficiency and accuracy.
- Should be able to adapt to changes in regulations, technologies, and industry trends and adjust the revenue cycle management strategy accordingly.
- Ability to monitor team performance and make adjustments as needed to improve team and individual performance.
Benefits:
- Occasional travel may be required depending on client needs.
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