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About the role
Key responsibilities & impact- Monitor daily operational performance, battle cards, action plans, and key KPIs for assigned clients, including A/R days, cash performance, denial trends, and accuracy measures
- Act as the primary operational liaison between clients or facility management 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 issue communication
- Lead operational work for domestic-only clients as needed
- Review statistical reports and dashboards; develop and implement corrective action plans
- Lead tactical efforts to maximize operational efficiency and optimize reimbursement through standardized workflows, issue triage, and cross-functional collaboration
- Ensure client inquiries are addressed promptly and proactively escalate risks such as unbilled accounts, claim issues, and operational blockers
- Partner with operations, finance, payer relations, technology, and strategic client management/sales teams
- Understand contract terms and ensure billing, invoicing, and service delivery comply with negotiated requirements
- Maintain knowledge of hospital billing systems, government payer programs, reimbursement policies, and applicable regulations
- Maintain confidentiality of patient and client information
- Attend required meetings and remain current on industry trends, legislative changes, and best practices
- Ensure customer invoice accuracy and support monthly invoicing processes
- Recruit, screen, and select candidates; orient new hires; manage hiring plans and staff resources
- Use performance management processes, provide feedback, conduct annual reviews, and address non-performance
- Maintain current job descriptions and accurate staff records
- Support training and organizational development programs
- Mentor, guide, and coach direct reports
- Communicate corporate matters and administer internal policies and procedures in accordance with corporate, HR, budgetary, and finance guidelines
- Comply with employment laws and regulations
Requirements
What you’ll need- Bachelor's degree or equivalent combination of education and relevant experience
- 5+ years of experience in hospital-based revenue cycle functions with strong exposure to billing and follow-up/collections and claim resolution
- Working knowledge of insurance regulations, reimbursement practices, procedure and diagnosis coding, and automated billing workflows
- Demonstrated ability to work issues to resolution, including complex account research, root cause identification, and corrective actions
- Strong client-facing communication skills (written and verbal) with the ability to explain operational findings, timelines, and next steps clearly
- 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 comfort working across multiple systems and reporting outputs
- Preferred: 5+ years Medicare hospital billing experience and/or demonstrated expertise with government payers (Medicare/Medicaid)
- Preferred: Experience supporting hospital billing platforms and/or EHR/RCM systems (e.g., Thrive, Epic, Cerner, or comparable tools)
- Preferred: Advanced revenue cycle analytics capability (e.g., trending denials/underpayments, operational KPI reporting, dashboard interpretation)
- Preferred: Prior experience in client management, escalations, service recovery, and cross-functional coordination
- Preferred: Exposure to invoicing processes, contract compliance validation, and operational performance governance