RethinkFirst

Sales

• Lead the development and execution of a sales plan by strategically identifying target organizations and then building out a pipeline, specifically with Fortune 1,000 companies and companies which employ at least 5,000 employees
• Lead the sales process from initial target identification throughout the entire sales process to a successful contracting, and then collaborating with the client services team in the account implementation phase and in on-going client relationship management
• Manage large pipeline through effective use of sales metrics and tracking capabilities, and effectively communicating internal priorities, challenges and opportunities impacting revenue growth
• Simultaneously and effectively manage multiple deals and potential client engagements
• Actively work together with marketing and other parts of the organization in refining product positioning while also translating customer feedback to optimize product deliverables and features
• Serve as an integral component of the management team working to leverage one another’s expertise to continue to expand presence in the market
• Effectively leverage cross-functional resources and subject matter experts within the organization, knowing when to bring the CEO, clinical leadership or technical expertise into deal discussions
• Attend and represent the firm in major tradeshows and industry exhibitions and leveraging such opportunities to identify and source potential new clients
• Serve as a thought leader in the marketplace to establish both awareness and credibility of the offering
• Collaborate with staff members and external stakeholders, effectively communicating the mission, vision, goals/objectives and strategy in order to best focus, refine and enhance these key elements of the company

VP of Employer Sales

Customer Support

• Work with customers through multiple communication methods to address inquiries related to Rethink’s new Integrated Billing system, clearinghouse enrollment or general ABA billing questions.
• Close tickets once you have responded to the client inquire and fully address their questions.
• Respond to clients within a 24-hour timeframe.
• Maintain strict HIPAA-compliant confidentiality with all client-related data.
• Log tickets into sales force for issues that need to be escalated to the RCM, Product or Technology teams.
• Learn how the Integrated Billing system works and how it interfaces with multiple clearinghouses, payers and providers. This will be an ongoing process as system capabilities and client scope is expanded.
• Support both East and West coast clients as needed.
• Perform other responsibilities as directed including learning and assisting users with our BH and Employer Products

RCM Support Specialist

Billing Specialist

• Pull billing exports for all accounts assigned following the guidelines set by the RCM team
• Scrub billing according to payor rules
• Make sure that you are looking at the payor rules in SharePoint
• Update payer rules as needed in the RCM share drive
• Upload / Enter charges
• Run summary reports and save to client files as required
• Submit claims in a timely manner
• Generate unverified appointments and upload them into the client’s folder for their review
• Notify the client when billing is complete
• Fix/Manage all rejections
• Correct claims that had errors
• Communicate issues or opportunities to improve billing processes to your manager
• Submit secondary claims as needed

Accounts Receivable

• Review A/R Aging Reports and follow up on rejections and denials
• File appeals to insurance and to insurance commissioner as needed
• Submit corrected claims when needed
• Be the expert on assigned accounts and act as lead for communication between Customer Success Team and billing and posting teams
• Review customer account reports, requests for information from clients and track progress
• Own all incoming account specific tickets in SalesForce
• Work with Customer Success Team, Billing and Posting teams to resolve outstanding items
• Monitor and analyze customer account health and identify actions needed to resolve outstanding issues
• Work closely with the internal Compliance team on identified accounts
• Research specific payor billing rules as needed
• Ensure strict HIPAA-compliant confidentiality
• Review & interpret payor contracts when applicable
• Stay informed about Payor and Industry Billing rules
• Measure and monitor key metrics related to work performance
• Foster a positive work environment for colleagues

AR Specialist

Account Executive

• The Account Executive is responsible for solution selling to mid-sized and enterprise behavioral health practices focused on the delivery of Multispecialty treatment (ABA/SP/OT/PT) to individuals with autism.
• The selected candidate will develop new business and manage the sales cycle.
• Meet and proactively drive to exceed quarterly and annual revenue targets.
• Identify qualified prospects to generate new sources of business by developing relationships with multiservice practice owners.
• Drive to close sales by demonstrating understanding of current and long-term customer needs, proposing appropriate solutions to address identified customer needs, and consistently moving the customer toward commitment.
• Develop and maintain an exceptional knowledge of Rethink’s behavioral health solution.
• Deliver professional presentations appropriately targeted to the audience.
• Effectively position Rethink solutions and succinctly explain features, benefits, and technical aspects.
• Present complex solutions in a clear and concise manner to a variety of audiences.
• Complete and submit required reports such as forecasts, activity reports, and expense reports on a timely basis.
• Enter and maintain data accurately into Salesforce.com including meetings, contacts, updates, and forecasts.
• Use Zoom to conduct effective online meetings.
• Attend regional conferences (approximately six per year) to represent the company at booth.

Solutions Engineer

• Join sales calls to conduct deep-dive demonstrations and discovery into a prospective ABA provider’s current billing challenges, demonstrating Rethink’s Integrated Billing system and solutions for solving prospect’s billing needs.
• Answer product-related questions from the sales team via team chat and other communication channels.
• Work with product, marketing and sales teams to translate complex billing workflows into value propositions.
• Demonstrate how Rethink’s Integrated Billing system and/or services will solve the prospect's unique pain points.
• Collaborate with marketing, customer success, implementation and product teams to ensure consistent messaging and a strong feedback loop on customer needs.
• Help create technical sales materials, such as ROI calculators, case studies on reimbursement improvements, or white papers on navigating state-specific Medicaid changes.
• Assist with RFP/RFI responses and detailed technical documentation when required.
• Lead the service-scoping process by analyzing a prospect's volume and payor mix to help the sales team build accurate, competitive pricing proposals.
• Act as the "knowledge bridge" between the sales and implementation teams.
• Represent the company on webinars and potentially at ABA conferences and networking events in conjunction with sales.
• Conduct business analysis and background research on customers, payors, regulatory changes, and competitors with a view to support growth for the user's business.

Billing Solutions Consultant

Medical Billing and Coding

• Responsible for electronic data interchange (EDI) processes related to Behavioral Health/Medical billing enrollment ensuring the accuracy of data during the submission process
• Prepare and submit applications to configure Electronic Data Interchange (EDI) claims and Electronic Remittance Advice (ERA) through clearinghouse and other payer portals
• Prepare and submit applications to configure Electronic Funds Transfer (EFT) with payers
• Review all payments being received to identify all payers that EDI, ERA and EFT can be processed through our clearinghouse
• Communicate with our clearinghouse on any enrollment issues
• Review provider enrollment denials and errors with payers to resolve denial issue in a timely manner
• Partner with the Billing Implementation team and Director, RCM Operations to enroll new payers/providers to resolve enrollment tasks
• Maintain accurate enrollment records and provide updates to Management and Clients as needed
• Document and maintain process workflows, systems configuration, and tools used in the department
• Adhere to and follow all HIPAA guidelines
• Assigned special projects as needed

EDI Enrollment Specialist – Medical Billing

Manager

• Create and deliver engaging and effective professional development sessions to customers and end users (may be delivered virtually or in-person, as well as individual, small and large group training).
• Ensure rapport and relationship building is built into every interaction with district partners.
• Schedule and provide virtual and occasionally onsite trainings as assigned by supervisor.
• Remains up to date on all product and content launches and can communicate those updates with customer and support in problem-solving any issues that may arise effectively and efficiently.
• Customize presentation and messaging to the specific needs of the customer.