RCM Account Manager

Summary

Premise Health provides healthcare services to large organizations and their people. The RCM Account Manager serves as the primary client contact and strategic advisor, managing client relationships, analyzing revenue cycle KPIs, and recommending improvements. The role also leads the accounts receivable team to ensure effective claim resolution, operational efficiency, and client satisfaction.

Responsibilities

• Serve as the primary owner of the client and payer relationship, ensuring consistent communication, trust, and alignment
• Act as a strategic advisor to clinic leadership, providing insights and recommendations to improve revenue cycle performance
• Lead client onboarding and ongoing engagement, ensuring a seamless experience and clear expectations
• Analyze client KPIs (e.g., days in A/R, first pass resolution rate, denial trends) and provide tailored recommendations to improve financial outcomes
• Conduct monthly and quarterly performance reviews with clients, presenting data-driven insights and strategic action plans
• Prepare and timely deliver monthly and quarterly performance reports to clients and convey trends, risks, and opportunities clearly and proactively
• Identify root causes of revenue cycle inefficiencies and collaborate with clinics and internal teams to implement corrective measures
• Direct the AR team’s daily activities, ensuring timely follow-up and resolution of unpaid claims
• Establish and maintain system parameters that support efficient claim submission and payment maximization
• Utilize system tools to monitor at-risk accounts and initiate appropriate interventions
• Resolve escalated client and patient concerns with urgency and professionalism
• Champion client needs internally, advocating for enhancements to processes, systems, and service delivery
• Collaborate cross-functionally to improve the client experience and support the organization’s value proposition
• Maintain expert-level knowledge of RCM best practices, payer guidelines, and industry trends
• Provide training and guidance to AR team members to ensure consistent and high-quality service delivery
• Perform other duties as assigned to support client success and organizational goals

Skills

• High School Graduate required
• 3+ years of previous experience in healthcare account management or revenue cycle operations
• BS preferred or equivalent work experience
• EPIC systems experience desirable
• Strong knowledge of medical billing including commercial payers, Medicare, Medicaid, workers' compensation, and patient responsibility is highly desirable

Qualifications

Must Haves

• High School Graduate required
• 3+ years of previous experience in healthcare account management or revenue cycle operations

Nice to Haves

• BS preferred or equivalent work experience
• EPIC systems experience desirable
• Strong knowledge of medical billing including commercial payers, Medicare, Medicaid, workers' compensation, and patient responsibility is highly desirable

Benefits

• Medical, dental, vision, life and disability insurance
• A 401(k) program with company match
• Paid holidays and vacation time
• A company-sponsored wellness program
• EAP
• Access to virtual primary care and virtual behavioral health at no cost for team members and their dependents
• For individuals living in Washington or Colorado: Employees will be included in the company's Open Time Off plan and will receive 10 paid holidays or an equivalent bank of hours aligned to schedule throughout the calendar year.