RCM Account Manager

🕒 Julho 23

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

💰 Gerente de Contas

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Motivity

SiteLinkedInTodas as Vagas

11 - 50 funcionários

Fundada em 2015

🏥 Saúde

💼 Consultoria

☁️ SaaS

Healthcare • Consulting • SaaS

A Motivity é uma plataforma de software ABA (Análise do Comportamento Aplicada) tudo-em-um, clinicamente orientada, que conecta coleta de dados em tempo real, agendamento, faturamento/RCM e rastreamento de credenciais para práticas de ABA, escolas e equipes de educação especial. O produto SaaS em conformidade com a HIPAA é apoiado por clínicos (BCBAs), oferece integrações com folha de pagamento, EVV e clearinghouses, e visa melhorar os resultados dos alunos enquanto simplifica as operações e conformidade da prática.

Descrição

• Serve as the primary point of contact for assigned clients, build and maintain strong relationships, proactively addressing inquiries, and understanding their specific needs and goals. Responsible for delivering high-touch support and proactive communication. • Oversee the entire billing process for assigned accounts, ensuring accurate and timely submission of claims; manage accounts receivable; and resolve denials to ensure timely payment. • Ensure adherence to industry regulations and payer policies, such as HIPAA and CMS guidelines. • Lead regular RCM client review meetings (weekly or bi-weekly cadence) to discuss performance, payer trends, and action plans. • Monitor claim submissions, payment posting, denials, and aging AR to ensure targets are met. • Identify trends in underpayments, delays, rejections, and drive remediation efforts to resolution. • Support payer enrollment processes and credentialing updates when needed. • Deliver cash flow, AR aging, and denial analytics with actionable recommendations. • Track KPIs and hold stakeholders accountable for improvements.

🎯 Requisitos

• 3+ years of experience in revenue cycle management, ABA billing, or Behavioral Health • Knowledge of healthcare claims, payer guidelines, EOB/ERA reconciliation, and denial management. • Strong communication and relationship-building skills. • Experience in ABA billing or behavioral health is strongly preferred. Managing multiple provider accounts or billing groups simultaneously. • Experience with the Calmanac or Motivity PM systems strongly preferred. • Proficiency with practice management, clearinghouse, and EHR systems. • Detail-oriented, numbers-driven, and highly organized. • Previous experience in a remote role with time management accountability.