RCM Billing Account Manager (Certified Coding Certification )
About the position: DrCatalyst is seeking a detail-oriented and experienced RCM Billing Manager who holds a certification in medical coding (e.g., CPC) This role is responsible for overseeing all aspects of revenue cycle management (RCM), including billing, coding compliance, claims submission, denials management, and reimbursement optimization.
The ideal candidate has a strong background in medical billing and coding, deep knowledge of payer regulations, and proven leadership skills to manage multiple teams and streamline RCM processes for maximum efficiency and accuracy.
Title: RCM Billing Account Manager
Job Type: Full-time
Required Hours: 8:30am to 4:30pm EST, Mon-Fri (Can be flexible on this based on time zones, clients assigned.)
Role description:
Account Managers are responsible for overseeing billing and RCM accounts and the team members that work them. They are responsible for reporting back on these accounts to the RCM Manager. They must communicate clearly and effectively with clients, team members, and coworkers.
Account Management Responsibilities:
• Communicate with clients to answer all questions, inquiries and messages within 1 business day
• Meet or communicate on a regular basis with client
• Create monthly reports to share with clients
• Management of the team members assigned to accounts
• Oversee the entire RCM billing process to ensure all tasks are completed timely and accurately
• Communicate with either the client or team any needs, concerns, common denials, coding corrections, etc
• Create proactive processes and software setup to streamline the billing process
• Ensure compliance with current medical coding standards (ICD-10, CPT, HCPCS) and payer-specific guidelines.
• Audit and review coding and documentation to ensure accuracy, completeness, and compliance with regulatory and billing standards.
Leadership Responsibilities:
• Create a positive team environment with an open communication culture
• Set clear goals for team members
• Delegate tasks and set deadlines
• Ensure accurate and compliant coding practices in accordance with CPT, ICD-10, and HCPCS guidelines.
• Monitor and evaluate the performance of billing staff; provide leadership, training, and development as needed.
• Notify management and create transition plans for any change in team member assignments
• Assess new clients/projects, create a kick-off plan and get approval from RCM Managers
Minimum qualifications
• At least 5 years of previous experience with medical billing specialties such as fertility, OB/GYN, Allergy etc.
• Certification: CPC (Certified Professional Coder)
• 3+ years in a client-facing or account management role in healthcare billing.
• Knowledge of medical terminology: ICD-10, and CPT codes, as well as deductibles, co-insurances and co-pays, ability to interpret an EOB.
• Strong attention to detail; ability to organize work and perform duties with a high level of accuracy.
• Basic computer skills; Data entry and Microsoft Excel, Google Drive.
• Excellent written and verbal communication skills; ability to read, write, and interpret information and speak fluent English.
• Proficient in analytical reporting, leveraging tools such as Power BI, Excel and EHR systems
• Adept at creating custom dashboards and KPI reports to track AR aging, charge lag, clean claim rate, and payment trends.
Dr. Catalyst is an Equal Opportunity Employer and hires candidates regardless of age, gender, race, religion, or sexual orientation.
Job Type: Full-time
Pay: From $27.00 per hour
Benefits:
• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance
Work Location: Remote
