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CorroHealth · 6 days ago

Revenue Account Executive, Zero Balance

United States

Full-time

Onsite

Mid Level

3+ years exp

CorroHealth is dedicated to helping clients achieve their financial health goals through scalable solutions and clinical expertise. The Revenue Account Executive will manage client projects and relationships, conduct in-depth research on hospital contracts, and compile reports to address client inquiries.

AnalyticsFinanceFinancial ServicesFinTechHealth Care

Responsibilities

Manage client projects and relationships by participating in meetings, managing action items through to completion, answering client questions, and independently writing client emails

Compile, QA, and independently manage client processes from start to finish, such as provider relation escalations, bulk issues, regular reports, and invoices

Manage internal staffing and project needs, including answering questions from other team members on assigned client and monitoring project profitability

Research and determine next steps for complex and new payer issues and reimbursement areas to uncover potential opportunities, such as reimbursement guidelines and healthcare legislation

Create and update project plans, including outlining potential risk areas of a hospital-payer contract based on reimbursement structure and how to manually identify within the data

Review and summarize pricing documents based on hospital contracts to calculate expected payments, including Medicaid, percentage of charge, per diems, Medicare IPPS, MSDRG, outlier and/or stoploss, implants, drugs, and other reimbursement models

Make thorough client observations and recommendations after completing a project audit regarding underpayment exposure, contract risk, and other potential issues

Work with other account executives and managers to effectively submit bulk listings of accounts to insurance companies for reprocessing (e.g. rebill)

Escalate accounts to insurance provider relations for resolution and payment, including corresponding appropriately with provider relations teams, tracking progress of issues and ensuring that deadlines are met

Examine feedback from other internal teams on project activity and provide teams appropriate direction regarding account action when auditing and/or pursuing payments

Contribute meeting content to team meetings, AC biweekly meetings, and internal project related meetings

Help create and implement process improvements and trainings to protect future revenue

Understands and implements best practices for internal processes, communication, and documentation

Other duties as assigned

Qualification

ResearchAnalysisManaged care contractsHospital reimbursementMS OfficeProblem solvingClient managementProcess improvementMySQL basicsAccess proficiencyCritical thinkingWritten communicationVerbal communicationAttention to detailProject managementPresentation skills

Required

A minimum of 3 years of experience in areas of research and analysis

A minimum of 3 years of verifiable work history

A minimum of 3 years of experience with managed care contracts and hospital reimbursement

A minimum of 2 years of experience working with clients or equivalent

Must have achieved High School Diploma or GED

3 years of experience working in MS Office, with emphasis on advanced Excels skills, requiring experience with formulas, graphing, and reports to manipulate pricing tools and edit project reports

Demonstrated problem solving and critical thinking skills

Demonstrated ability to meet project deadlines

Demonstrated excellent written and verbal communication skills, to include writing professional documents and delivering presentations

Diligent and strong attention to detail