Revenue Cycle Account Manager

Title: Revenue Cycle Account Manager, Remote

Location: Somerville United States

Job Description:

Site: The General Hospital Corporation

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Summary:

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.

Qualifications

Education

Bachelor's Degree Finance required or Bachelor's Degree Related Field of Study required

Can this role accept experience in lieu of a degree?

No

Licenses and Credentials

Experience

Healthcare billing or revenue cycle management experience 5-7 years required and Management experience 2-3 years required

Knowledge, Skills and Abilities

• 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.
• Thorough understanding of healthcare regulations, compliance standards, and their application in billing practices.
• Ability to identify billing issues, propose solutions, and implement changes to improve revenue cycle efficiency.

Additional Job Details (if applicable)

Remote Type

Remote

Work Location

399 Revolution Drive

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

EEO Statement:

The General Hospital Corporation is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.