We are seeking a client-focused and results-driven Revenue Cycle Account Manager to serve as a key liaison between our organization and our most valued physician clients. This individual will be responsible for managing day-to-day client relationships, driving satisfaction and retention, and ensuring the successful delivery of Revenue Cycle Management (RCM) services.

The ideal candidate is highly organized, proactive, and solution-oriented, with a strong understanding of the end-to-end revenue cycle. They excel at building trust, navigating complex client needs, and partnering cross-functionally to resolve issues and identify growth opportunities. A client-first mindset and strong communication skills are essential, along with a working knowledge of physician RCM best practices.

This is a full-time, exempt position reporting to the Behavioral Health RCM Leadership Team.

What You Will Do

Client Relationship Management:

• Serve as the primary point of contact for Behavioral Health clients, addressing inquiries and concerns proactively.
• Build and maintain strong relationships with healthcare providers and stakeholders.
• Conduct regular client meetings to review RCM performance, discuss challenges, and align on financial goals.
• Provide ongoing education to clients on RCM processes, industry trends, and regulatory changes.
• Utilize Salesforce as the primary CRM to manage accounts, track client engagement activities, maintain accurate customer data, and log client escalation

Revenue Cycle Performance & Optimization:

• Assist with the onboarding of new clients by helping coordinate meetings, gathering and tracking documentation, and ensuring internal teams are aligned on next steps.
• Monitor and analyze key performance indicators (KPIs) such as Days Sales Outstanding (DSO), Denial Rates, AR Aging, and Net Collections.
• Identify trends and implement solutions to optimize revenue collection and minimize delays.
• Collaborate with internal billing, coding, and collections teams to ensure timely claims submission, payment posting, and follow-ups.
• Address payer issues, reimbursement challenges, and operational bottlenecks.

Operational & Financial Oversight:

• Develop and execute action plans to improve financial outcomes for clients.
• Ensure compliance with industry regulations (HIPAA, CMS, payer policies) and best practices.
• Provide detailed reporting and insights on revenue cycle health.
• Partner with leadership to refine workflows and enhance efficiency.
  
  

Issue Resolution & Process Improvement:

• Investigate and resolve client issues related to claims, payments, or system inefficiencies.
• Work cross-functionally with internal teams to drive process improvements.
• Identify automation and technology enhancements to streamline operations.
  
  

Qualifications & Skills:

Experience: 5+ years in revenue cycle management, medical billing, or healthcare account management, supporting Behavioral Health providers (mental health and substance abuse).
Education: Bachelor’s degree in healthcare administration, Business, or equivalent years of professional experience.
Technical Skills: Familiarity with RCM software (e.g., CollaborateMD), payer portals, and reporting tools. Demonstrated experience using a CRM platform (e.g., Salesforce) to manage customer relationships.
Knowledge: Strong understanding of medical billing, coding (CPT, ICD-10), insurance verification, and reimbursement processes. Understanding of ASAM and LOCUS billing criteria is highly desirable.
Soft Skills: Excellent communication, problem-solving, and customer service skills.
Analytical Ability: Experience with financial reports, data analysis, and KPI tracking.
People Oversight: 3+ years’ experience in supervising staff and overseeing workflow functions. 
Ability to function well in a fast-paced and at times stressful environment.  
Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times. 

What You Will Do:

• Prepare monthly financial statements for all assigned facilities within a structured timeframe
• Facilitate monthly close procedures
• Prepare monthly reconciliations and schedules 
• Analyze revenues and expenses to ensure they are recorded appropriately on a monthly basis as well as report on variances
• Take ownership of all details of the general ledger of assigned facilities as well as understand the flow of transactions
• Collaborate with outside consultants and accountants to assist in their preparation of two year-end cost reports as well as year-end financial statements
• Respond to questions from other departments in a timely manner to prevent delays in closings
• Prepare and provide specific reports and information requested by client as the need arises throughout the month
• Furnish required information to banks after monthly financials have been finalized

What it Takes to Join the Family:

• At least one year of accounting experience in the skilled nursing facility (SNF) industry
• Experience with the software Sage Intacct 
• Strong understanding of accounting theory
• Strong written and verbal skills with the ability to adjust the message to fit the audience
• Possess strong organizational and time management skills
• Ability to analyze and synthesize information to understand issues and identify options
• Engage with a wide base of clients across the organization
• Collaborate with interdepartmental team members to complete projects

Why Assembly?

• Be part of something special! We are growing both organically and through acquisitions.
• Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way!
• Ongoing training and development programs
• An environment that values transparency
• Virtual and in-person events to connect with your team.
• Competitive Benefit Packages available, Paid Holidays, and Paid Time Off to enjoy your time away from the office.

This is a full time, exempt position reporting to the Finance Supervisor

We are seeking a client-focused and results-driven Revenue Cycle Account Manager to serve as a key liaison between our organization and our most valued physician clients. This individual will be responsible for managing day-to-day client relationships, driving satisfaction and retention, and ensuring the successful delivery of Revenue Cycle Management (RCM) services. 

The ideal candidate is highly organized, proactive, and solution-oriented, with a strong understanding of the end-to-end revenue cycle. They excel at building trust, navigating complex client needs, and partnering cross-functionally to resolve issues and identify growth opportunities. A client-first mindset and strong communication skills are essential, along with a working knowledge of physician RCM best practices. 

This is a full-time, exempt position reporting to the Senior Director of RCM Account Management. 

What You Will Do:

Revenue Cycle Performance & Optimization: 

• Monitor and analyze key performance indicators (KPIs) such as Days Sales Outstanding (DSO), Denial Rates, AR Aging, and Net Collections. 

• Identify trends and implement solutions to optimize revenue collection and minimize delays. 

• Collaborate with internal billing, coding, and collections teams to ensure timely claims submission, payment posting, and follow-ups. 

• Address payer issues, clearinghouse rejection resolution, reimbursement challenges, and operational bottlenecks. 

• Perform root cause analysis and provider education as needed and required.   

Operational & Financial Oversight: 

• Develop and execute action plans to improve financial outcomes for clients. 

• Ensure compliance with industry regulations (HIPAA, CMS, payer policies) and best practices. 

• Provide detailed Excel reporting and insights on revenue cycle health.  

• Partner with leadership to refine workflows and enhance efficiency. 

Issue Resolution & Process Improvement: 

• Investigate and resolve client issues related to claims, payments, or system inefficiencies. 

• Work cross-functionally with internal teams to drive process improvements. 
• Identify automation and technology enhancements to streamline operations. 

Client Relationship Management: 

• Build and maintain strong relationships with healthcare providers and stakeholders. 
• Provide ongoing education to clients on RCM processes, industry trends, and regulatory changes. 

Qualifications & Skills: 

• Experience: 5+ years in revenue cycle management, medical billing, or healthcare account management. Primary Care, Podiatry, Multi-Specialty specialty knowledge, highly preferred.  

• Education: Bachelor’s degree in healthcare administration, Business, or equivalent years of professional experience.  

• Technical Skills: Familiarity with RCM software (e.g., NextGen, Athena, eClinicalWorks, Waystar), payer portals, Excel expertise, and reporting tools.  

• Knowledge: Strong understanding of medical billing, coding (CPT, ICD-10), insurance verification, and reimbursement processes. Knowledge and familiarity with special programs including ACO, CCM, BHI, APCM, etc.  

• Soft Skills: Excellent communication, problem-solving, and customer service skills. 

• Analytical Ability: Experience with financial reports, data analysis, and KPI tracking. 

• People Oversight: 3+ years’ experience in supervising staff and overseeing workflow functions.  

• Ability to function well in a fast-paced and at times stressful environment.   
• Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.   

Who we are!  

Assembly Health, headquartered in Chicago, IL, is a healthcare management services organization (“MSO”) that provides clinical services and business solutions to long-term care facilities and physician practices throughout the country. We currently serve over 4,000 facilities and 200 physician practices in more than 40 states.  Our services include onsite podiatric care, revenue cycle management, marketing, logistics, staffing, and compliance that help long term care communities and physician practices perform at their best. We believe that if communities and providers can function at the highest level, care for people will only get better. Assembly Health is an equal employment opportunity employer. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, age, disability, marital status, or pregnancy.  

Note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.  

What You Will Do:

• Work closely with residents and their families to establish a viable payer source beginning from date of entry throughout the resident's stay
• Process Medicaid Applications and re-determinations
• Utilize Utrack to enter all data
• Interact with client and facility staff with professionalism in all facets of customer service
• Prioritize and adjust workload based on the urgency and importance of issues
• Escalate growing balances and/or unresolved time sensitive issues
• Ensure facilities are operating according to procedure and compliance
• Maintain timely communication with directors, administrators, and staff regarding potential issues at the facilities
• Participate in team meetings, committees, and/or conference calls
• Other responsibilities may include training new BOMs

What it Takes to Join the Family:

• Experience working with nursing home facilities and Medicaid applications
• Experience with NCS, MatrixCare and/or PCC a plus
• Strong written and verbal skills with the ability to adjust the message to fit the audience
• Possess strong organizational and time management skills
• Ability to analyze and synthesize information to understand issues and identify options
• Engage with a wide base of clients across the organization
• Collaborate with interdepartmental team members to complete projects

Why Assembly?

• Be part of something special! We are growing both organically and through acquisitions.
• Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way!
• Ongoing training and development programs
• An environment that values transparency
• Virtual and in-person events to connect with your team.
• Competitive Benefit Packages available, Paid Holidays, and Paid Time Off to enjoy your time away from the office.

This is a full time, non-exempt position reporting to the SNF Tracking Supervisor.

This is a full-time, exempt position reporting to our Accounts Receivable Director. 

What You Will Do

• Lead, mentor, and manage a team of billing specialists and coordinators responsible for the billing performance of assigned facilities.
• Oversee day-to-day billing operations, ensuring the team submits claims in a timely and accurate manner.
• Provide training, development, and performance feedback to the billing team to ensure adherence to best practices and regulatory compliance.
• Set performance goals for the team, monitor progress, and ensure key metrics such as days in accounts receivable (AR) and collection rates are met.
• Serve as the primary point of contact for a portfolio of SNF customers, ensuring their billing needs are met and addressing any concerns or issues related to billing or revenue cycle management.
• Serve as primary point of contact for our offshore portfolio, including vendor management, SOPs, staffing needs, and general project management to optimize our offshore A/R processes. 
• Monitor the billing performance of each SNF in the portfolio, identifying trends, potential issues, and opportunities for improvement.
• Develop customized strategies for each client to optimize billing processes, reduce claims denials, and maximize collections.
• Collaborate with clients to ensure they understand their billing performance, and work with them to resolve any discrepancies or challenges.
• Oversee the submission of claims for the SNF portfolio, ensuring accuracy and compliance with Medicare, Medicaid, and other payer requirements.
• Ensure timely follow-up on unpaid claims, manage denials, and coordinate with insurance providers to resolve disputes.
• Implement best practices in billing operations, continually seeking opportunities to improve the efficiency and effectiveness of billing processes for customers.
• Work closely with executive leadership to develop and refine policies and procedures related to billing and revenue cycle management.
• Ensure that all billing activities are compliant with state and federal regulations, including HIPAA, Medicare, Medicaid, and other third-party payer rules.
• Stay updated with changes in reimbursement models, billing regulations, and industry best practices.
• Conduct regular audits of the billing processes for the SNF portfolio to ensure accuracy and compliance.
• Prepare and present reports on billing performance, revenue collection, and other key financial metrics to senior management and SNF customers.
• Build and maintain strong relationships with clients, acting as a trusted advisor on billing and revenue cycle matters.
• Provide regular communication with customers regarding billing issues, financial performance, and resolution of any disputes.
• Work to proactively resolve issues before they escalate, providing clients with clear communication on their billing status.
• Other tasks and projects as needed and assigned.

What it Takes to Join the Family

• Bachelor’s degree in business administration, finance, healthcare administration, or a related field.
• 5+ years of experience in medical billing experience with specific experience in skilled nursing or long-term care settings. Three plus years of experience leading or managing billing teams.
• Extensive knowledge of Medicare, Medicaid, and third-party insurance billing processes and regulations.
• Strong understanding of SNF-specific billing requirements and revenue cycle management.
• Experience managing offshore A/R vendors including Project Management, SOPs, Staffing operations, processes implementation, etc. 
• Excellent leadership and team management skills.
• Strong analytical skills, with the ability to identify trends and develop solutions to improve billing performance.
• Proficiency with billing software systems and electronic health records (EHR).
• Strong communication skills, with the ability to interact effectively with clients and internal teams.
• Demonstrated ability to adapt to evolving industry trends and regulations and implement necessary changes to maintain compliance.
• Ability to function well in a fast-paced and at times stressful environment.
• Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.

Why Assembly?

• Be part of something special! We are growing both organically and through acquisitions.
• Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way!
• Ongoing training and development programs
• An environment that values transparency
• Virtual and in-person events to connect with your team.
• Competitive Benefit Packages available, Paid Holidays, and Paid Time Off to enjoy your time away from the office.

What You Will Do

Client Relationship Management:

• Serve as the primary point of contact for assigned Nextech clients, addressing inquiries and concerns proactively.
• Build and maintain strong relationships with healthcare providers and stakeholders.
• Conduct regular client meetings to review RCM performance, discuss challenges, and align on financial goals.
• Provide ongoing education to clients on RCM processes, industry trends, and regulatory changes.

Revenue Cycle Performance & Optimization:

• Monitor and analyze key performance indicators (KPIs) such as Days Sales Outstanding (DSO), Denial Rates, AR Aging, and Net Collections.
• Identify trends and implement solutions to optimize revenue collection and minimize delays.
• Collaborate with internal billing, coding, and collections teams to ensure timely claims submission, payment posting, and follow-ups.
• Address payer issues, reimbursement challenges, and operational bottlenecks.

Operational & Financial Oversight:

• Develop and execute action plans to improve financial outcomes for clients.
• Ensure compliance with industry regulations (HIPAA, CMS, payer policies) and best practices.
• Provide detailed reporting and insights on revenue cycle health.
• Partner with leadership to refine workflows and enhance efficiency.

Issue Resolution & Process Improvement:

• Investigate and resolve client issues related to claims, payments, or system inefficiencies.
• Work cross-functionally with internal teams to drive process improvements.
• Identify automation and technology enhancements to streamline operations.

Qualifications & Skills:

• Experience: 5+ years in revenue cycle management, medical billing, or healthcare account management.
• Education: Bachelor’s degree in healthcare administration, Business, or equivalent years of professional experience.
• Technical Skills: Experience with Nextech EMR Software, payer portals, and reporting tools. Other RCM software experience also preferred (e.g., Nextgen, Athena, eClinicalWorks).
• Knowledge: Strong understanding of medical billing, coding (CPT, ICD-10), insurance verification, and reimbursement processes. Knowledge and familiarity with ProFee coding for ambulatory care practices.
• Soft Skills: Excellent communication, problem-solving, and customer service skills.
• Analytical Ability: Experience with financial reports, data analysis, and KPI tracking.
• People Oversight: 3+ years’ experience in supervising staff and overseeing workflow functions. 
• Ability to function well in a fast-paced and at times stressful environment.  
• Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.  

We are seeking a dynamic and strategic Director of RCM Account Management to lead our Account Management team and serve as a trusted advisor to our most strategic, board-level clients. This individual will be responsible for driving client satisfaction, retention, and growth within our Nextech vertical by ensuring the seamless delivery of RCM services and mentoring a high-performing team of account managers.

The ideal candidate is a strategic, results-driven leader with a proven track record of accelerating revenue growth, enhancing client satisfaction, and building strong cross-functional partnerships. They bring deep operational expertise and a client-first mindset to the Physician RCM space, with demonstrated success in developing talent, leading high-impact teams, and aligning account strategy with broader organizational goals to deliver long-term value.

This is a full-time, exempt position reporting to our Vice President of Physician RCM.   

What You Will Do 

Leadership & Team Development

• Lead, mentor, and develop a high-performing team of RCM Account Managers, fostering a client-focused culture of collaboration, accountability, and continuous improvement.
• Partner with the VP and General Manager of Physician RCM on staffing evaluations, talent development, and succession planning.
• Supervise cross-functional onshore and offshore teams responsible for all aspects of the revenue cycle, ensuring alignment and excellence across operations, analytics, billing, coding, and compliance functions.

Client Relationship Management

• Serve as the executive liaison for C-suite and board-level stakeholders across top-tier accounts, ensuring expectations are exceeded through proactive engagement and strategic guidance.
• Lead strategic business review meetings and planning sessions for high-value clients in partnership with account managers and internal leadership.
• Collaborate directly with clients to optimize workflows, identify improvement opportunities, and ensure seamless delivery of services aligned with their evolving needs.

Operational Excellence & Performance Management

• Develop and maintain KPIs, performance metrics, and reporting structures to track service delivery, client satisfaction, and team performance.
• Analyze performance trends, financial data, and client feedback to inform strategic decisions and drive continuous improvement.
• Monitor staff performance trends, provide coaching, and implement quality assurance initiatives to maintain best-in-class service standards.

Strategic Growth & Retention

• Drive account growth and retention by identifying opportunities for new services or expanded partnerships.
• Support contract renewals, pricing discussions, and proposal development for strategic accounts.
• Proactively address risk areas and implement retention strategies for at-risk clients.

Collaboration & Compliance

• Maintain strong internal communication across departments to ensure alignment and promote knowledge sharing.
• Collaborate with Nextech leadership to report on KPIs, recommend system enhancements, and address challenges or successes within the program.
• Ensure compliance with all applicable government regulations and industry standards.

Misc.

• Lead or participate in special projects and perform additional duties as needed to support evolving business priorities.

Qualifications & Skills 

• Bachelor’s degree in business, Healthcare Administration, or equivalent years of experience.
• 8+ years of progressive experience in revenue cycle management or healthcare operations.
• 5+ years in a leadership role, managing client-facing account management teams.
• Proven track record of managing enterprise-level clients, including direct engagement with C-suite and board executives.
• Demonstrated success in driving client satisfaction, retention, and growth through strategic account oversight
• Deep knowledge of end-to-end RCM processes (coding, billing, AR, collections, denials, etc.).
• Experience with RCM platforms (Nextech P+ and Nexcloud preferred), automation tools, and a strong technical aptitude. Specialty RCM knowledge in ophthalmology, retina, dermatology, or plastics is a plus
• Strategic thinker with strong analytical and problem-solving capabilities.
• Exceptional communication, relationship management, and organizational skills with a client first mindset
• Adaptable to change and willingness to learn different processes—we are Assemblers, after all!
• Ability to perform effectively in a fast-paced and dynamic environment
• Prolonged periods of sitting at a desk and working on a computer; ability to occasionally lift or carry up to 10 pounds

This will be an exempt position reporting to the Director of Accounts Receivable. While this is a remote position, the candidate MUST be a U.S. resident and authorized to work in the U.S. without a visa sponsorship. 

We are seeking a highly organized and execution-focused Program Manager to oversee and scale our offshore Revenue Cycle Management (RCM) operations supporting Skilled Nursing Facility (SNF) clients. This role will serve as the primary owner of offshore delivery performance—ensuring operational excellence, standardized workflows, and strong vendor partnerships.

The ideal candidate brings a strong mix of RCM domain expertise, offshore vendor management, and program governance, with the ability to build structure where needed and drive consistency across teams, processes, and performance metrics.

Key Responsibilities

Offshore Operations & Vendor Management

• Serve as the primary point of contact for offshore RCM vendors and delivery teams
• Own vendor governance including:
• Performance management and SLA adherence
• Capacity planning and staffing models
• Escalation management and issue resolution
• Lead regular operational reviews (daily/weekly/monthly) with offshore leadership
• Partner with internal stakeholders to align offshore delivery with business goals

SOP Development & Process Standardization

• Design, document, and implement standard operating procedures (SOPs) across offshore RCM functions, including but not limited to:
• Charge entry
• Billing
• AR follow-up
• Cash posting
• Denials management
• Month end process
• Ensure SOPs are aligned with SNF-specific workflows, payer requirements, and regulatory standards
• Drive process adherence and continuous improvement initiatives

Staffing Models & Productivity Management

• Develop and maintain staffing ratios and productivity benchmarks by function and client type
• Partner with vendors to forecast demand and adjust staffing based on volume and client growth
• Monitor workload distribution and utilization to ensure efficiency and quality outcomes

Program & Project Management

• Lead cross-functional initiatives related to:
• New client onboarding and transitions
• Process improvements and automation efforts
• Vendor expansion or consolidation
• Build and maintain project plans, timelines, risks, and dependencies
• Ensure on-time, on-budget delivery of operational initiatives

Reporting, Metrics & Governance

• Define and track KPIs related to offshore performance, including:
• Productivity and quality metrics
• Turnaround times
• Net collection rates and DSO
• Provide regular reporting and insights to executive and operational leadership
• Identify trends, risks, and opportunities for optimization

Required Qualifications

• 5+ years of experience in Revenue Cycle Management, preferably supporting Skilled Nursing Facilities (SNF) or post-acute care
• 3+ years of experience managing offshore teams or third-party RCM vendors
• Strong knowledge of SNF RCM workflows, payer dynamics, and compliance considerations
• Proven experience developing SOPs, staffing models, and operational playbooks
• Solid project or program management experience (formal PM training or certification a plus)
• Exceptional communication and stakeholder management skills
• Ability to operate independently in a fast-paced, scaling environment

Preferred Qualifications

• Experience supporting multi-client RCM delivery models
• Familiarity with offshore delivery in India, Philippines, Eastern Europe or similar regions
• Experience with RCM platforms and reporting tools (e.g., billing systems, workflow tools, dashboards)
• PMP, PgMP, Lean, Six Sigma, or similar certifications