Job Description

Medusind is a leading provider of revenue cycle management solutions to dental, behavioral health, anesthesia, pathology, emergency, surgery, radiology, and other specialties. In January 2023, Alpine Investors, a people-driven private equity firm, invested in Medusind to continue to advance its leadership position as one of the top revenue cycle management companies in the country.

Position Overview: 

We are seeking a highly skilled and experienced Account Executive in Revenue Cycle Management (RCM) to join our dynamic team. This role will be responsible for overseeing and optimizing the revenue cycle process for our clients, ensuring the smooth functioning of the RCM operations. As an Account Executive, you will manage key client relationships and collaborate with cross-functional teams to drive efficiency, compliance, and overall financial performance.

Key Responsibilities:

Client Relationship Management:

• Serve as the primary point of contact for assigned clients, ensuring strong, long-term relationships.
• Regularly communicate with clients to understand their needs, address issues, and provide updates on RCM performance.
• Anticipate client concerns and proactively address potential challenges.

Revenue Cycle Management:

• Work with clients to identify opportunities to streamline operations, improve billing accuracy, and increase revenue collection.
• Ensure compliance with industry regulations (e.g., HIPAA, CMS) and client-specific policies.

Reporting and Analytics:

• Monitor, analyze, and report on key performance indicators (KPIs) related to the revenue cycle.
• Develop and deliver client-specific reports that provide insights on revenue trends, outstanding accounts, and operational performance.
• Use data to drive process improvements and make recommendations for enhanced efficiency and profitability.

Problem Resolution:

• Investigate and resolve any escalated billing or collection issues promptly.
• Collaborate with internal teams (coding, billing, compliance, etc.) to resolve complex client concerns.
• Ensure timely follow-up and resolution of denied or rejected claims.

Continuous Improvement:

• Stay up to date with industry trends, regulations, and technologies to maintain a competitive edge.
• Recommend process improvements and implement best practices to optimize the RCM workflow.
• Contribute to internal process documentation and training materials.

Requirements:

Education:

• Bachelor’s degree in healthcare administration, Business, Finance, or related field - however level of experience in the industry also considered.

• Relevant certifications (e.g., Certified Revenue Cycle Professional - CRCP) preferred.

Experience:

· 3+ years of experience in Revenue Cycle Management or related healthcare finance roles.

· Behavioral Health (BH) and/or Substance Use Disorder (SUD) RCM experience preferred.

· Proven experience in client relationship management.

· Deep understanding of healthcare billing, coding, compliance, and insurance processes.

· Experience with UB‑04 facility billing, including institutional claims, revenue codes, and payer‑specific billing requirements preferred, but not required.

Data Analytics:

• Ability to analyze complex data and provide actionable insights.

Communication & Collaboration : 

• Strong communication, negotiation, and interpersonal skills. Ability to work independently and as part of a collaborative team.

Client Relationship Management : 

• Exceptional customer service skills and ability to cultivate strong relationships with clients to ensure satisfaction and retention.

Customer service skills:  

· Proven capability to handle high‑pressure scenarios and professionally address client escalations and concerns.

Detail-Oriented : 

• Exceptional problem-solving abilities and attention to detail.

• Ability to set and maintain priorities in a fast-paced client-focused environment, with multiple demands and interruptions.

Collaborative Problem Solving : 

• Ability to work and communicate effectively with a diverse group of people including other department managers, staff, physicians, patients, and the client.

Technical skills:  

• Advanced proficiency in RCM software and Microsoft Office Suite, including strong Excel skills (pivot tables, formulas, data analysis, and reporting).
• Experience leveraging data analytics, technology, and process improvement initiatives to enhance efficiency and accuracy.

Adaptability and flexibility:  

• Should be able to adapt to changes in regulations, technologies, and industry trends and adjust the revenue cycle management strategy accordingly.

Since 2002, organizations across the entire healthcare spectrum have leveraged our deep expertise and high-quality solutions to maximize revenue, reduce operating costs and navigate the changing healthcare landscape. Medusind’s unique combination of deep industry expertise, robust operational capability, and client-focused service significantly improves the efficiency and profitability of healthcare organizations. Client satisfaction is the primary focus of the Medusind leadership and staff. Our highly experienced personnel, cutting edge technology, and forward-thinking approach allows us to deliver effective solutions while staying ahead of healthcare industry changes.

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