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RCM Account Manager

5-7 Years
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  • Posted 2 days ago
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Job Description

We're hiring for the following role for our client.

  • Location: Fully remote candidate must be able to reliably work overlapping hours

with U.S. Eastern (EST/EDT) and/or Central (CST/CDT) business hours.

  • Reports to: COO
  • Employment type: Full-time
  • Experience: 5+ years in Revenue Cycle Management / medical billing or as a medical

billing Account Manager

Summary:

You'll own the client relationship for multiple private-practice clients. You will not be

doing day-to-day charge entry or claims processing as a primary responsibility, instead

you'll manage the relationship with the client and coordinate a third-party billing BPO

(based in India) that executes the billing. Your role is to ensure quality, timeliness, KPI

attainment, and exceptional client communication, while occasionally stepping in to

handle escalations and perform billing tasks.

Core responsibilities:

  • Serve as the primary point of contact for assigned private-practice clients

(physician owners, practice managers, office staff) - daily/weekly check-ins as

needed.

  • Coordinate and manage the offshore BPO (India) that performs charge entry,

claim submission, denial management, and payment posting; escalate and

resolve issues between client and BPO.

  • Monitor key RCM KPIs and AR metrics (AR days, clean claim rate, denial rate,

days to payment, net collection rate); produce and deliver weekly and monthly

client reports and action plans.

  • Manage denials/rejections workflow with BPO: root-cause analysis, appeal

strategy, and process improvements.

  • Train and coach client staff (front desk, clinical staff) on best practices that impact

RCM charge capture, documentation, verifying insurance, patient collections.

  • Triage clinical/billing questions and communicate regulatory or payer changes

affecting reimbursement.

Required qualifications:

  • 5+ years experience in revenue cycle management, medical billing, or as a

medical billing account manager for physician practices.

  • Practical understanding of the full claims lifecycle (charge capture, coding basics

- CPT/ICD fundamentals, claim submission, EDI/ERA, payment posting,

denials/appeals).

  • Proven experience managing and coordinating third-party billing teams or BPO

partners (vendor management, SLAs, quality control).

  • Excellent written & oral English communication skills - able to interact directly

with physician owners and office managers.

  • Strong client-service orientation, problem solving, and soft skills (empathy,

negotiation, conflict resolution).

  • Comfortable working overlapping U.S. business hours in EST/CST (see time-

zone alignment section below).

  • Familiarity with common practice management / EHR platforms and ability to

read reports (experience with Tebra, eClinicalWorks, AMD, Collaborate MD, or

similar is a plus).

  • Proficiency with Excel, reporting tools, and Microsoft Office.
  • Reliable high-speed internet and a quiet, professional remote work setup.

More Info

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About Company

Job ID: 135587489