Lead, Operations Account Management

Vaga não está no LinkedIn

🕒 Setembro 17

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $70.000 - $80.000 / ano

⏰ Tempo Integral

🟠 Sênior

💰 Gerente de Contas

👻 Score fantasma 6%

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IKS Health

SiteLinkedInTodas as Vagas

10.000+ funcionários

🏥 Saúde

☁️ SaaS

🤖 Inteligência Artificial

Healthcare • SaaS • Artificial Intelligence

A IKS Health é uma empresa de tecnologia e serviços de saúde que combina software impulsionado por inteligência artificial e expertise humana para otimizar fluxos de trabalho clínicos, operacionais e financeiros ao longo da jornada de atendimento. A empresa oferece soluções baseadas em plataforma, incluindo gestão de ciclo de receita, acesso do paciente, previsão e otimização de negações, codificação médica, documentação clínica (escriba de IA ambiental, escrevente virtual, transcrição), habilitação de equipe de atendimento e otimização de cuidado baseado em valor/risco. A IKS Health atende sistemas de saúde, empresas de médico, práticas ambulatoriais e especializadas, e enfatiza o uso de IA com intervenção humana, construída em tecnologias de nuvem para reduzir a carga administrativa, melhorar o desempenho financeiro e elevar a qualidade do atendimento.

Descrição

• Monitor daily operational performance, battle cards, action plans, and KPIs for assigned clients, including A/R days, cash performance, denial trends, and accuracy measures • Serve as the primary operational liaison between client facilities and internal delivery teams • Translate client needs, issues, and requests into actionable operational priorities and execution plans • Identify operational risks, analyze performance trends, and support issue resolution to prevent revenue leakage and service disruption • Ensure accurate reporting, clear status updates, and effective communication with stakeholders and client contacts • Lead operational work for domestic-only clients as needed • Review statistical reports and dashboards and develop and implement corrective action plans • Lead tactical efforts to maximize operational efficiency and optimize reimbursement • Address client inquiries promptly and escalate risks such as unbilled accounts, claim issues, and operational blockers • Coordinate with operations, finance, payer relations, technology, and strategic client management/sales teams • Understand contract terms and ensure billing, invoicing, and service delivery meet negotiated requirements • Maintain knowledge of hospital billing systems, government payer programs, reimbursement policies, and regulations • Support monthly invoicing, validate supporting details, and resolve discrepancies • Recruit, screen, select, orient, coach, mentor, and provide feedback to staff • Manage performance reviews, training, job descriptions, staff records, policies, and compliance for direct reports • Complete other duties as assigned

🎯 Requisitos

• Bachelor’s degree or equivalent combination of education and relevant experience • 5+ years of experience in hospital revenue cycle functions with strong exposure to billing, follow-up/collections, and claim resolution • Working knowledge of insurance regulations, reimbursement practices, procedure and diagnosis coding, and automated billing workflows • Ability to work issues to resolution, including complex account research, root cause identification, and corrective actions • Strong client-facing written and verbal communication skills • Excellent critical thinking, organizational, and time-management skills, with strong attention to detail, accuracy, and follow-through • Proficiency with Microsoft Office (Excel, Outlook, Word) and multiple systems and reporting outputs • Preferred: 2+ years Medicare hospital billing experience and/or government payer expertise • Preferred: Experience with hospital billing platforms and/or EHR/RCM systems such as Thrive, Epic, or Cerner • Preferred: Advanced revenue cycle analytics capability • Preferred: Client management, escalations, service recovery, and cross-functional coordination experience • Preferred: Invoicing processes, contract compliance validation, and operational performance governance experience • Must maintain confidentiality of patient and client information • Must comply with applicable employment laws, HIPAA, ERISA, and other regulations

🏖️ Benefícios

• 3% annual bonus • Equal opportunity employment