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.