Connexin

RCM Client Services Specialist

Connexin

full-time

Posted on:

Origin:  • 🇺🇸 United States • Florida, Idaho, Kansas, Louisiana, North Carolina, Ohio

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Salary

💰 $52,000 - $55,000 per year

Job Level

Mid-LevelSenior

About the role

  • Establish a strategic advisor relationship with clients by understanding their practice’s billing requirements, long term strategy and goals
  • Proactively provide insight on the financial health of their business and guidance on solutions and steps to bridge the gap to ensure their goals are achieved
  • Complete business review presentations with clients to effectively communicate practice financial health, determine current level of client satisfaction and identify opportunities to improve the revenue cycle
  • Report monthly denial and rejection trends internally and externally and recommend process improvements to prevent future denials and rejections
  • Ensure all meeting notes and client relationship documentation are documented in Salesforce and client specific instructions are documented on the client blueprint
  • Act as primary client point of contact to handle individual needs, resolve conflicts, and provide solutions to customers in a timely manner
  • Exercise sound judgment and make independent business decisions related to solving client related billing matters
  • Approve and implement workflow modifications to meet client needs that may have significant financial impact to OP and/or the practice
  • Develop and monitor action plans related to client escalations/concerns
  • Maintain regular contact with RCM contacts at the practice via phone, email, and OP messages
  • Identify at-risk clients and determine actions required to resolve concerns and retain clients
  • Provide guidance and education to the Sutherland team on clarifications, help items, and resolving outstanding AR
  • Collaborate with RCM and Sutherland leadership on quality/productivity/TAT barriers
  • Establish and maintain system parameters that support timely submission of claims to payers resulting in payment maximization
  • Improve operational efficiencies including OP software performance and assist with automation initiatives
  • Collaborate with Account Manager to optimize use of OP software and identify client training needs
  • Ensure success of newly implemented clients with enhanced monitoring for the 6 weeks post go-live
  • Maintain expert knowledge of payer guidelines for assigned geographic areas in collaboration with payer rules specialist and team leads
  • Complete offboarding process for clients exiting RCM services

Requirements

  • Must reside in one of the following states: Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maryland, Michigan, Minnesota, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Utah, Virginia, Wyoming
  • Applicants must be authorized to work for ANY employer in the U.S.; unable to sponsor employment Visa
  • Minimum of 5 years of full cycle RCM, EMR, and Customer Service experience
  • College Degree, Professional Certifications and/or some combination of related experience
  • CPC (a plus)
  • Strong knowledge of full cycle RCM, EHR systems, ICD-10 / CPT coding
  • CPT and ICD10 knowledge
  • Microsoft Office
  • Google Docs
  • Ability to efficiently and independently manage multiple tasks and prioritize workload
  • Strong active listening, interpersonal written and oral communication skills
  • Problem solving and decision making skills
  • Ability to effectively prioritize and execute tasks while under pressure
  • Ability to work with different systems and software applications
  • Occasional travel to conferences/offices; occasional nights and weekends as needed