Job Description
Job Description
The Account Manager is responsible for leading and overseeing the end-to-end accounts receivable and revenue cycle operations for assigned anesthesia practice clients. This includes AR follow-up, denial prevention and resolution, accurate coding, and client reporting. The ideal candidate will bring in-depth knowledge of anesthesia billing complexities, payer guidelines, and compliance standards, while maintaining a sharp focus on operational KPIs and client service excellence.
Primary Responsibilities:
Anesthesia-Specific Revenue Cycle Management
- Oversee all accounts receivable functions for anesthesia clients, including charge capture, claim submission, payment posting, denial management, and appeals.
- Monitor anesthesia-specific billing scenarios such as concurrency, medical direction, base and time units, and modifiers (e.g., AA, QK, QX, QY, QZ).
- Ensure compliance with Medicare, Medicaid, and commercial payer guidelines for anesthesia services.
Client Relationship Management
- Act as the primary point of contact for anesthesia practice clients, maintaining high levels of client satisfaction through regular updates, responsiveness, and strategic guidance.
- Conduct monthly or quarterly client meetings to review performance dashboards and financial trends.
Reporting and Data Analysis
- Develop and present AR aging reports, denial trends, and collection performance using advanced Excel skills (vlookups, pivot tables, Power Pivot, macros).
- Provide analysis of key anesthesia KPIs, such as case volume trends, payer mix, net collection rates, and AR > 90 days.
Financial Optimization and Denial Management
- Collaborate with coding, billing, and payer teams to proactively reduce denials, increase clean claim rates, and improve first-pass payment rates.
- Establish root-cause analyses for recurring issues and implement corrective action plans with internal teams and clients.
Strategic Process Improvement
- Leverage practice management and billing platforms to improve workflows and automation.
- Recommend and implement process enhancements based on analytics and performance monitoring.
Compliance and Quality Control
- Ensure that all AR activities comply with HIPAA, federal/state billing regulations, and payer-specific requirements.
- Conduct internal audits of claim accuracy, coding compliance, and documentation standards for anesthesia procedures.
Leadership and Team Collaboration
- Lead and mentor AR and billing support staff, fostering a high-performing and accountable culture.
- Collaborate with anesthesia providers, schedulers, coders, and internal leadership to align on goals and execution.
Qualifications
- Education: High school diploma or GED required; Associate’s or Bachelor’s degree in healthcare administration, business, or related field preferred.
- Experience: Minimum 5 years of revenue cycle experience, with at least 2 years in anesthesia billing or anethesia AR follow-up preferred.
- Technical Skills: Proficiency in Microsoft Excel (including vlookups, pivot tables, Power Pivot, macros) and experience with billing systems (e.g., AdvancedMD, eClinicalWorks, Epic, or similar). Familiarity with ANSI 835/837 files and clearinghouse reports preferred.
- Professional Traits:
- Highly organized and detail-oriented.
- Strong critical thinking and analytical skills.
- Ability to manage multiple priorities and meet deadlines.
- Excellent verbal and written communication skills in a client-facing environment.
- Self-motivated and team-oriented.