In the role of Account Manager you will be part of a team of dynamic leaders at PMG, a company dedicated to the successful revenue management of Federally Qualified Health Center’s (FQHC’s). The Account Manager is a leader and member of our Revenue Cycle Team and is responsible for maximizing the collection of medical services payments from individual clients, vendors and providers. Success will be measured, in part, by a reduction in claims denials and an increase in reimbursements.
This position is based out of Rhode Island with position. This position has availability to work in our Pawtucket, RI location as well as remote opportunity options as well.
Essential Duties & Responsibilities:
Account Manager Responsibilities
Acting as liaison between PMG Billing Clients and PMG Operations Team, assuring normalized and proficient information exchange.
Receipt of charges and payments by PMG Data Entry in accordance with expectations (e.g., daily, twice weekly depending on the client).
Interfacing daily with PMG Departments (including PMG Operations Team), regarding billing operational issues which cannot be resolved independently.
Interfacing daily with PMG Billing Client inquiries / concerns such as:
Reporting requests, financial questions, reviewing patient accounts, providing guidance and direction as needed.
Quality concerns, issues and/or errors identified that were performed by PMG Operations/Support Team(s).
Escalating the reoccurrence of PMG Operations or Support issues and errors to the Operations & Support Supervisor.
Monitoring the progression of charges and payments throughout the month, keeping on track per client stats, through client communication, training and supervision.
Overseeing all denied claims; acting as liaison between Clients and PMG Operations Team, primarily for information exchange but also to seek avoidable trends.
Maintaining and recording weekly conference call logs between PMG and Clinic Management (C-level in attendance or copied on notes via email), to address unresolved operational issues and concerns which are negatively impacting the maintenance of normalized cash flow; proposing processes and policies to improve multiple work flows.
Responsible for inbound patient and client phone calls.
Working with PMG Operations Team and PMG Billing Clients to reach the company’s goal of closing each month by the 5th business day.
Preparing multiple month-end reports; entering monthly financial data and accounts receivable data into multiple spreadsheets.
Identifying accounts receivable factors that contribute to the age/days of the A/R and working to resolve such items.
Participating in Monthly Presentation (WebEx) Meetings presented by PMG’s Revenue Cycle Director, taking notes and ownership of appropriate follow-up items.
Assisting PMG’s Revenue Cycle Director with preparation of the Monthly Presentation by providing successes and challenges for the month, answering questions, etc.
Account Manager Responsibilities (in addition to responsibilities listed above)
Acting as a resource to other team members (first line of questions).
Participating in new hire training.
Assisting in the oversight of other accounts within the team, providing assistance in identifying and resolving AR issues and concerns, ensuring the team is meeting goals.
Providing back-up to accounts due to PTO and leaves.
Developing expertise in multiple PM systems.
Identifying areas for improved processing, staffing and team work load distribution, along with the guidance of Team Lead.
Providing other back-up assistance for Team Lead, as needed.
Supervisory Responsibilities:
Providing limited supervision to PMG Operations, Account Associates and RCM Support staff, through motivation, direction, review and feedback of assigned tasks.
Supervising in both their work assignments and performance development.
Account Managers are supervised by and report to their specific Team Lead.
Other Duties and Responsibilities:
Complying with HIPAA policies, practices and procedures.
Participating in proactive team efforts to achieve departmental and company goals.
Providing leadership to others through example and sharing of knowledge/skill.
Performing other duties as assigned.
Maintaining and documenting rules, procedures and instructions for each PMG Billing Client for all areas (Account Manager tasks, Support staff tasks, Operations staff tasks, client policies, etc.).
Education and Experience:
Associate’s degree (AA) or equivalent from a two-year college or technical school and 3+ years’ experience in healthcare billing and direct client interaction required; may be substituted with equivalent combination of education and experience. Medical Billing (and/or Coding) Certificate preferred.
Demonstrated Qualifications:
Proven ability to work independently requiring minimal supervision and direction.
Effective communication with clients and operations team.
Positive relationships with clients, operations and internal PMG staff.
Effectively communicating issues and concerns to team lead, including quantifying issues and identifying effective solutions.
Effectively managing processes, including the timely resolution of exceptions, with minimal backlog.
AR results consistently meeting targets and/or an ability to identify, quantify and address stressors independently.
An increased responsibility (increased numbers of accounts and/or encounter management).
A desire to learn and create effective processes.
Supporting PMG’s efforts of process improvement and developing cost efficiencies
Specialized Knowledge/Skills:
Proficient communicator, both verbally, interpersonally and written.
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form.
Strong organizational skills and attention to detail.
Skilled to prioritize, organize and delegate assignments; handle multiple, simultaneous, competing projects.
Ability to perform intermediate math.
Capable of dealing with frequent interruptions.
Knowledgeable of keyboarding and Windows Office products (e.g. Word, Excel, Outlook, etc.), as well as understanding Medical Billing software.
Bilingual -English/Spanish - a plus.
Physical Requirements:
Necessitates fine motor skills; occasionally requiring pushing, pulling, lifting and carrying up to 15 lbs. Must be able to use a computer, including keyboard and telephone, during peak activity periods, in excess of 8 hours per day and/or 40 hours per week. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.
