nimble solutions
Job Type
Full-time
Description ***This is a hybrid role, and will require 1-2 days per week onsite with the client in Irvine, CA***
Why work at nimble? This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high growth mode through acquisition with a laser focus on positive culture building!
Who we are! nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle.
What you’ll be responsible for!
Serve as the primary point of contact for assigned clients and promptly respond to all client inquiries
Engage in regular client interaction via e-mail, conference calls, and in-person visits to ensure customer satisfaction
Interface with assigned client service staff to ensure the appropriate preparation, analysis and presentation of all client deliverables, ensuring their accuracy and overall quality
Proactively identifies potential problems with client performance before they occur and develops and implements a plan to eliminate future occurrences
Ensures that all appropriate resources are available and utilized effectively to maximize account performance
Monitors, evaluates, and reports on billing effectiveness/cash flo,w and makes recommendations to increase productivity and profitability
Remains current on payment trends and coding, and payer requirement changes. Acts upon variances to explain, correct or enact desired process improvements
Generates client standard and ad hoc reports to clients, including commentary on the value nimble provides the client
Strategic Leadership & Financial Oversight
RCM Strategy: Develop and execute a centralized, high-performing RCM strategy that aligns with the organization's growth objectives, including new center acquisitions and service line expansion
Performance Optimization: Establish, monitor, and report on key performance indicators (KPIs) for the entire revenue cycle (e.g., Days in A/R, Net Collection Rate, Denial Rate, First Pass Acceptance Rate). Implement data-driven strategies for continuous improvement
Executive Reporting: Provide regular, comprehensive performance reports, variance analysis, and actionable insights to the executive team, physician partners, and board members
Revenue Cycle Operations Management
Front-End Management (Patient Access): Oversee and standardize all front-end processes, vendors, direct patient payments, and point-of-service collections to minimize downstream errors
Coding & Charge Capture: Ensure timely and compliant charge capture and medical coding (CPT, ICD-10, HCPCS) specific to ASC procedures. Implement internal auditing programs to maintain accuracy and compliance
Billing & Collections: Direct all billing, claims submission, and accounts receivable (A/R) follow-up activities to ensure prompt and accurate payment from government and commercial payers
Denial and Underpayment Management: Lead a robust denial prevention and management program, conducting root cause analysis, implementing corrective actions, and overseeing the timely appeal of denied claims to maximize reimbursement
Payer Relations and Contracting
Payer Contract Management: Collaborate with the Managed Care team to provide strategic input into payer contract negotiations, ensuring favorable terms, accurate fee schedules, and compliance with all contract language
Reimbursement Integrity: Monitor payer performance scorecards to track payment lags, underpayments, and denial trends, promptly engaging payers to resolve systemic issues
Requirements Who you are!
Solid background in all aspects of physician revenue cycle management, including at least two years in accounts receivable, coding, or payer contracting
ASC billing experience preferred
Proficient knowledge of third-party billing and claims processing procedures, including a solid understanding of the current regulatory environment
Experience using Practice Management and EMR systems as it relates to production and client reporting.
Strong analytical and critical thinking skills
Strong communication skills, verbal and written
Ability to work with a high degree of independence; must be proactive
Proven client relationship skills; must be able to work effectively with physicians and senior management
Logistics!
Hybrid Setting – this role requires 1-2 days per week onsite at the client in Irvine, CA
Participates in departmental, training, and staff meetings
Adhere to all compliance and company policies and procedures
Travel up to 20%
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Description ***This is a hybrid role, and will require 1-2 days per week onsite with the client in Irvine, CA***
Why work at nimble? This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high growth mode through acquisition with a laser focus on positive culture building!
Who we are! nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle.
What you’ll be responsible for!
Serve as the primary point of contact for assigned clients and promptly respond to all client inquiries
Engage in regular client interaction via e-mail, conference calls, and in-person visits to ensure customer satisfaction
Interface with assigned client service staff to ensure the appropriate preparation, analysis and presentation of all client deliverables, ensuring their accuracy and overall quality
Proactively identifies potential problems with client performance before they occur and develops and implements a plan to eliminate future occurrences
Ensures that all appropriate resources are available and utilized effectively to maximize account performance
Monitors, evaluates, and reports on billing effectiveness/cash flo,w and makes recommendations to increase productivity and profitability
Remains current on payment trends and coding, and payer requirement changes. Acts upon variances to explain, correct or enact desired process improvements
Generates client standard and ad hoc reports to clients, including commentary on the value nimble provides the client
Strategic Leadership & Financial Oversight
RCM Strategy: Develop and execute a centralized, high-performing RCM strategy that aligns with the organization's growth objectives, including new center acquisitions and service line expansion
Performance Optimization: Establish, monitor, and report on key performance indicators (KPIs) for the entire revenue cycle (e.g., Days in A/R, Net Collection Rate, Denial Rate, First Pass Acceptance Rate). Implement data-driven strategies for continuous improvement
Executive Reporting: Provide regular, comprehensive performance reports, variance analysis, and actionable insights to the executive team, physician partners, and board members
Revenue Cycle Operations Management
Front-End Management (Patient Access): Oversee and standardize all front-end processes, vendors, direct patient payments, and point-of-service collections to minimize downstream errors
Coding & Charge Capture: Ensure timely and compliant charge capture and medical coding (CPT, ICD-10, HCPCS) specific to ASC procedures. Implement internal auditing programs to maintain accuracy and compliance
Billing & Collections: Direct all billing, claims submission, and accounts receivable (A/R) follow-up activities to ensure prompt and accurate payment from government and commercial payers
Denial and Underpayment Management: Lead a robust denial prevention and management program, conducting root cause analysis, implementing corrective actions, and overseeing the timely appeal of denied claims to maximize reimbursement
Payer Relations and Contracting
Payer Contract Management: Collaborate with the Managed Care team to provide strategic input into payer contract negotiations, ensuring favorable terms, accurate fee schedules, and compliance with all contract language
Reimbursement Integrity: Monitor payer performance scorecards to track payment lags, underpayments, and denial trends, promptly engaging payers to resolve systemic issues
Requirements Who you are!
Solid background in all aspects of physician revenue cycle management, including at least two years in accounts receivable, coding, or payer contracting
ASC billing experience preferred
Proficient knowledge of third-party billing and claims processing procedures, including a solid understanding of the current regulatory environment
Experience using Practice Management and EMR systems as it relates to production and client reporting.
Strong analytical and critical thinking skills
Strong communication skills, verbal and written
Ability to work with a high degree of independence; must be proactive
Proven client relationship skills; must be able to work effectively with physicians and senior management
Logistics!
Hybrid Setting – this role requires 1-2 days per week onsite at the client in Irvine, CA
Participates in departmental, training, and staff meetings
Adhere to all compliance and company policies and procedures
Travel up to 20%
#J-18808-Ljbffr