Cliniqon
Location: Remote – Philippines Department: Revenue Cycle Management (RCM) Reports To: Associate Director / Director of Revenue Cycle Management Position Overview The Client Success Manager is responsible for overseeing the financial and operational success of assigned client accounts by ensuring efficient revenue cycle management, regulatory compliance, and exceptional client service. This role serves as the primary account-level leader, partnering with internal teams and agency stakeholders to optimize reimbursement performance, reduce denials, improve accounts receivable (AR) outcomes, and maintain operational excellence. The ideal candidate combines strong leadership, healthcare revenue cycle expertise, analytical skills, and client relationship management experience. They will work closely with Team Leads, Quality Assurance, Training, Production, and Executive Leadership to ensure timely reimbursements, minimize denials and AR aging, maintain payer compliance, and drive continuous process improvement. This position is critical to sustaining the financial health of partnered home care, home health, and hospice agencies while fostering collaboration across clinical and non-clinical departments. Key Responsibilities Client Success & Account Management Serve as the primary operational point of contact for assigned client accounts. Address urgent client and staff escalations daily to ensure timely issue resolution. Lead recurring revenue cycle meetings with agency stakeholders and internal Team Leads. Provide account-level performance updates and strategic recommendations to clients. Develop and maintain client-specific dashboards illustrating billing cycle performance and revenue health. Prepare high-level revenue forecasting reports and data summaries for agency administrators. Build trusted client relationships through proactive communication and operational transparency. Revenue Cycle Operations Review claim submission queues and aging AR reports across assigned accounts. Ensure Notices of Admission (NOA), Notices of Election (NOE), claims, and remittances are processed accurately and promptly. Complete root cause analysis of AR by payer, denial reason, and aging bucket. Coordinate with production teams to resolve claims aged over 90 days. Track denial trends and implement corrective action plans while partnering with agencies to eliminate upstream process deficiencies. Identify variances in expected reimbursement, payment trends, or claim volumes and escalate findings appropriately. Review production logs to identify unusually high or low dollar transactions requiring Quality Assurance review. Operational Leadership Collaborate with Team Leads and Quality Assurance to review account trends, team capacity, productivity, and quality metrics. Conduct regular team huddles along with the Associate Director to discuss workflow updates, priorities, bottlenecks, and operational improvements. Adjust job responsibilities or shift assignments based on staffing levels, workload, and client needs in collaboration with the Associate Director and Director. Develop cross-training plans to maintain continuity of service during employee absences. Encourage collaboration and peer-to-peer problem solving while escalating issues appropriately. Review career development plans for employees below the manager level and recommend internal promotions to leadership when appropriate. Compliance & Quality Assurance Ensure billing operations comply with CMS regulations and payer-specific billing requirements. Respond immediately to compliance concerns identified through audits or staff reporting. Update billing procedures and workflows in response to regulatory or payer policy changes. Clarify payer requirements and documentation expectations for complex billing situations. Resolve escalated claim and payment disputes collaboratively with internal teams and clients. Process Improvement & Technology Monitor technology issues affecting billing operations and ensure timely resolution of ticketed system problems. Identify workflow bottlenecks and implement short-term operational improvements while working on long-term solutions. Call Electronic Health Record (EHR) and clearinghouse vendors to evaluate system performance and optimization opportunities. Recommend automation initiatives and workflow enhancements to improve billing, AR and payment posting efficiency. Evaluate existing systems for operational gaps and present recommendations for continuous improvement. Reporting & Performance Management Send regular account-level performance snapshots to leadership and Team Leads. Review account performance metrics and discuss outliers with the Associate Director and Director. Analyze operational data to identify revenue trends, productivity opportunities, and financial risks. Monitor account KPIs and ensure assigned accounts consistently meet organizational performance goals. Training & Staff Development Partner with Training and Quality Assurance teams to identify knowledge gaps. Host focused micro-training sessions covering trending denial reasons, payer updates, documentation requirements, and operational best practices. Promote a culture of continuous improvement, accountability, professional development, and whole team mindset. Qualifications Required Degree in Healthcare Administration, Business Administration, Finance, or a related field, or equivalent work experience. Minimum 3 years of experience in healthcare revenue cycle management, medical billing, or accounts receivable. Minimum 1 years of leadership, client success, or account management experience. Strong knowledge of Medicare, Medicaid, commercial insurance, CMS regulations, and payer-specific billing requirements. Experience supporting Home Care, Home Health, Hospice, or post-acute healthcare organizations required. Advanced proficiency in Microsoft Excel, reporting tools, and data analysis. Experience working with EHR systems, clearinghouses, and revenue cycle software. Excellent verbal and written English communication skills. Strong analytical, organizational, and problem-solving abilities. Ability to manage multiple client accounts in a fast-paced remote environment. Interested applicants you may send your resume to phcareers@cliniqon.com Pay: Php50,000.00 - Php65,000.00 per month Benefits Additional leave Company Christmas gift Health insurance Opportunities for promotion Paid training Pay raise Promotion to permanent employee Work from home Work Location: Remote
Cliniqon
