| Duties and Responsibilities |
| Essential Functions | - Client Relationship Management
- Build strong working relationships with client operational teams and their leadership
- Manage communication cadence including status on all SSRs, KPIS, action and project plans are progressing at the expected pace.Â
- Ensure timely follow-up on all client inquiries and escalations based on the communication matrix.
- Revenue Cycle Performance Monitoring
- Maintain a working knowledge of revenue cycle workflows, processes and integration for all accounts.
- Monitor and report on key client KPIs including denial rate, gross collection rate, AR days, and net collection rate
- Identify performance trends and escalate concerns proactively through the escalation channels outlined in the client manager guide. Ensure all escalations are managed and responded to within the provided timeframes.
- Support development of action plans to improve client performance
- Assist in preparation of reporting for leadership and QBRs
- Issue Resolution and Escalation Management
- Track and manage client issues through resolution
- Differentiate between operational issues and technical issues to assign to team members
- Coordinate with technical operations, product teams, and support teams
- Ensure root cause is identified, not just symptom resolution
- Clearinghouse and Technical Coordination
- Maintain technical working knowledge of clearinghouse workflows including 837, 277, 275, 835, and 270/271
- Assist clients in understanding rejections versus denials, with a clear understanding of ARC
- Partner with technical teams to resolve mapping, transmission, and connectivity issues
- Workflow and Process Improvement
- Identify inefficiencies in client workflows for process improvements
- Support movement from reactive, queue-based processes to proactive approaches
- Recommend improvements to front-end data quality and claim submission processes
- Data and Reporting Support
- Review and interpret client reports and dashboards
- Highlight key insights and trends
- Ensure data accuracy and consistency
- Cross-Functional Collaboration
- Act as liaison between clients and internal teams
- Ensure alignment across expectations, technical capabilities, and delivery
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| Marginal Functions | - Other duties as assigned.
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| Skills, Knowledge, and Abilities |
- Deep expertise in revenue cycle management, including understanding of workflows, processes, and integration across accounts
- Key Performance Indicator (KPI) Acumen – Demonstrated ability to understand, monitor, and apply KPIs to evaluate performance, identify trends, and support data‑driven decision‑making.
- Analytical and Critical Thinking – Strong capability to analyze complex data, identify patterns and root causes, and translate findings into actionable insights.
- Healthcare Financial and Technical Knowledge – Working knowledge of healthcare financial concepts, revenue cycle processes, and related technical systems or data structures.
- Effective Communication – Ability to clearly communicate complex information to diverse audiences through written, verbal, and presentation skills, and collaborate effectively across teams.
- Organizational and Execution Excellence – Proven ability to prioritize work, manage multiple initiatives, and execute tasks accurately and efficiently within established timelines.
| - Must be able to interact cordially and productively with co-workers in a team environment.
| - Ability to work under pressure and to prioritize.
| - Must be able to proficiently read and write in English.
| - Must possess effective communications skills with ability to handle difficult situations.
| - Must be able to make independent judgment decisions with minimal supervision.
| - Must be able to see clearly with or without corrective lenses and hear clearly with or without aids.
| - Must be able to use hands, fingers and wrists, repetitively, using a computer keyboard and other office equipment, regularly.
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