Job Description

nimble solutions (“nimble” and f/k/a National Medical) 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.

In this client-facing role as the Manager, Accounts Receivable, you will oversee, develop, and be accountable for a Line of Business (ASC) and lead a POD team structure of 5-15 individuals, onshore and partner with offshore leadership and PDO teams, responsible for $2-$3 million in revenue This individual should have a successful track record of drive for results, advanced expertise in RCM accounts receivable, claims and overall process and demonstrated ability to lead, develop, and grow a team. 

Responsibilities

People Leadership

• Leads, develops, and assists A/R Representatives and Account Performance Managers with client account performance
• Partners with Learning and Development to create an onboarding and training framework and ensure the framework and plans are executed for new A/R team members
• Develops inexperienced or underperforming employees and provides feedback and coaching
•  Monitors performance through established department KPIs and holds the team accountable
• Leads employee 1:1 and team meetings

Reporting and Analytics

• Partners with the analytics team and Account Performance Managers to review and analyze reports and data to maximize efficiency and direct focus to appropriate areas of concern
• Identify denial trends, report on global payer issues, and implement recovery plans

RCM Process and Expertise 

• Acts as a resource for all A/R team members for questions regarding billing policies, state guidelines, reimbursement analysis, and assists with the resolution of challenging accounts and claims
• Maintains a detailed knowledge of client-specific SOWs
• Helps to establish and evaluate A/R policies, procedures, and best practices, and make suggestions for revisions and updating information

Client and Account Performance

• Serve as one of the primary points of contact for assigned clients and promptly respond to all client inquiries
• Engage in regular client interaction via e-mail and conference calls to ensure customer satisfaction
• Interface with assigned client service staff to ensure the appropriate preparation, analysis, and presentation of all client deliverables, ensuring their accuracy and overall quality
• Proactively identifies potential problems with client performance before they occur and develops and implements a plan to eliminate future occurrences
• Work with A/R team members to help meet and exceed goals and provide detailed feedback to client services if the goals are not met

• Minimum of 3 years of experience in A/R, with at least 1 year in a Supervisory role
• 3 + years of A/R and claims experience in the healthcare industry
• Strong analytic skills and proven success leading process improvement initiatives and project management
• Advanced knowledge of Medicare, Medicaid, Private Insurance, Private Pay, Liability, and Worker’s Compensation requirements and procedures, and diagnosis and medical terminology
• Intermediate level of expertise with Microsoft Office Suite
• Knowledge of and ability to comply with HIPAA, HITECH, and patient confidentiality policies
• Advanced knowledge of the revenue cycle is required; experience with ASC billing is preferred
• Epic experience strongly preferred
• Experience creating and delivering client-facing content and client presentations. 

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 and 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

Location

Chesterfield Office Hybrid or Remote. The role requires travel to company offices, key company events, and industry events.