Senior Account Executive

Role Overview

• 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. Ability to work independently and as part of a collaborative team.
• Exceptional customer service skills and ability to cultivate strong relationships with clients to ensure satisfaction and retention.
• Strong customer service skills to manage relationships with clients, including communicating with them to resolve service delivery issues and promote client satisfaction.
• 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.