Revenue Cycle Account Manager, Remote
 Massachusetts General Hospital | |
 United States, Massachusetts, Somerville | |
| 399 Revolution Drive (Show on map) | |
 Mar 25, 2025 | |
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Establishes and manages effective ongoing communication with assigned physician practice(s) to identify and address business needs; provides guidance and timely responses to customer service questions and requests; conducts regular meetings with practice staff.
Communicates with practice(s) within the framework of the Revenue Cycle. Provides analysis and context for monthly performance data. This includes projections and comparison to budget figures Does this position require Patient Care? No Essential Functions -Oversee the entire billing process, ensuring accurate and timely submission of claims, invoicing, and accounts receivable management. -Provides the practices and Management with the status and analysis of standard operational, financial, billing and budget statistics on a monthly basis. -Monitor billing performance metrics, analyze trends, and identify areas for improvement in revenue cycle processes. -Ensure compliance with healthcare regulations, coding guidelines, payer requirements, and billing practices, such as HIPAA and Medicare regulations. -Collaborate with insurance companies and payers to resolve billing issues, negotiate contracts, and address reimbursement discrepancies. -Monitor accounts receivable aging, implement strategies to reduce outstanding balances, and oversee the resolution of billing disputes. -Analyze revenue trends, identify root causes for revenue fluctuations, and develop action plans to optimize revenue generation. Education Bachelors Degree strongly preferred or equivalent experience required 3-5 years experience in a professional healthcare setting required Licenses and Credentials - In-depth knowledge of billing processes, coding principles (ICD-10, CPT), reimbursement methodologies, and healthcare payer policies. - Strong leadership, team management, and communication skills to effectively lead and motivate a billing team. - Proficiency in analyzing financial data, identifying trends, and implementing strategies for revenue enhancement and process improvement. The General Hospital Corporation is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. | |