Manager, Accounts Receivable - Healthcare Rev Cycle

Overview 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 client‑facing Manager, Accounts Receivable will oversee a line of business and lead a POD team of 5‑15 individuals to manage $2‑3 million in revenue. 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, maximizing efficiency and focusing on appropriate areas of concern. Identifies denial trends, reports on global payer issues, and implements recovery plans. RCM Process and Expertise Acts as resource for all A/R team members for questions regarding billing policies, state guidelines, reimbursement analysis, and assists with resolution of challenging accounts and claims. Maintains detailed knowledge of client‑specific SOWs. Helps establish and evaluate A/R policies, procedures, and best practices, and recommends revisions and updates. Client and Account Performance Serves as primary point of contact for assigned clients and promptly responds to all client inquiries. Engages in regular client interaction via e‑mail and conference calls to ensure customer satisfaction. Interfaces with assigned client service staff to ensure the 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. Works with A/R team members to help meet and exceed goals and provides detailed feedback to client services if goals are not met. Requirements Minimum of 3 years of experience in A/R, with at least 1 year in a supervisory role. More than 3 years of A/R and claims experience in the healthcare industry. Strong analytical 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 expertise with Microsoft Office Suite. Knowledge of and ability to comply with HIPAA, HITECH, and patient confidentiality policies. Advanced knowledge of the revenue cycle; experience with ASC billing 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. Takes action on challenges, identifies and seizes new opportunities; leads others to persist despite setbacks; establishes clear responsibilities and processes for monitoring work and measuring results. Communicates Effectively . Develops and delivers 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 open expression of diverse ideas and opinions; adapts personal, interpersonal, and leadership behavior to fit situational cues. 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. #J-18808-Ljbffr nimble solutions