RCM Specialist - Collections

M
MYSMARTPROS


A Senior Customer Success Manager (Fixed Term Cover) is wanted remotely in a US company.
MYSMARTPROS • United States • via USA Remote Job Mysmartpros
4 days ago
Part-time
No Degree Mentioned
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Job highlights
Identified by Google from the original job post
Qualifications
4+ years of experience in a Customer Success, Account Manager or quota-carrying role, preferably in a SaaS or technology company
Proven track record of managing multiple customer relationships and driving customer success initiatives
Ability to effectively manage customer expectations and any conflicts should they arise
16 more items(s)
Responsibilities
As a key member of the Customer Success team at Oyster, you will focus on nurturing and retaining our most strategic customers
You will be on the front line with customers representing Oyster to our main points of contact to successfully deliver on our scope of product and services
You will partner closely with your Account Manager to align day-to-day activities to a clear picture of high-value partnership between Oyster and our customers, as well as leverage cross-functional stakeholders in order to assure successful relationship development
7 more items(s)
More job highlights
Job description
Right now, the best jobs are limited to people in a handful of the world s wealthiest cities, yet brilliant people are everywhere. Driven to overturn the status quo and distribute opportunities equally around the world, Oyster launched its global employment platform to help companies hire, pay, and care for talent anywhere.

When it comes to global employment, we walk the walk. We re proof that companies don t need an office to create a highly-engaged culture. Since the company s inception in January 2020, Oyster has:

?? Created a fully-distributed, vibrant team of 500+ employees across 60+ countries

?????Featured in Forbes having ranked #+ in Flexjobs Top 30 Companies for remote jobs

?? Established a diverse leadership team and an employee base that s 60% female

?? Achieved one of the highest employee engagement scores in its class

?? Raised $150 million in Series C funding at a valuation of over $1 billion!

?? B Corp status achieved in 2023

Our momentum speaks to the power of global employment and we re just getting started! If you want to change the world with Oyster and be empowered to work remotely while doing so, we d love for you to apply!

The Role

Location: While this position is posted in a specific location, all of Oyster s positions are fully remote and you can work from home. Forever. To create the best experience for our new hire, this role requires you to be based within + / -5 UTC (EMEA) working hours.

PLEASE NOTE: This is a six-month fixed-term employment contract until April 2025.

As a key member of the Customer Success team at Oyster, you will focus on nurturing and retaining our most strategic customers. You will be on the front line with customers representing Oyster to our main points of contact to successfully deliver on our scope of product and services. You will partner closely with your Account Manager to align day-to-day activities to a clear picture of high-value partnership between Oyster and our customers, as well as leverage cross-functional stakeholders in order to assure successful relationship development.

Key Responsibilities

Manage a portfolio of Oyster s most strategic accounts, acting as a trusted advisor to your customers, understanding their business objectives, challenges, and goals to ensure they maximize the value of Oyster s products and services.

Run regular account reviews with customers to ensure the relationship remains healthy and share structured updates on product and service developments.

Educate customers about Oyster s product and services and run product training for the different customer personas.

Effectively handle customer escalations, by working cross-functionally to find prompt and satisfactory resolutions.

Apply a data-driven mindset to customer inquiries, needs, and insights to feed the customer voice back to the business.

Work cross-functionally with Product, Account Management, and Support to translate customer feedback and ensure high impact and customer-centric improvements

Complete ongoing upskilling as our product rapidly continues to accelerate!

Core Requirements

4+ years of experience in a Customer Success, Account Manager or quota-carrying role, preferably in a SaaS or technology company.

Proven track record of managing multiple customer relationships and driving customer success initiatives.

Ability to effectively manage customer expectations and any conflicts should they arise.

Excellent operating rhythm to keep routine deliverables on track while escalations emerge.

Excellent communication and presentation skills.

Problem-solving mentality and demonstrated conflict resolution capabilities.

An autonomous, professional and human-centric approach to customer relationships.

Process-minded with a focus on scale and efficiency for your work.

Comfortable working remotely and taking a proactive approach to asynchronous communication.

Growth-minded and solutions-oriented with the desire to roll up your sleeves and solve problems as they arise.

A curious team player with the interest to try new things, bring initiatives, test and use the possibility to be creative.

A high degree of empathy and a positive attitude. You work hard and know that everyone around you is, too

Drive for the social impact mission and desire to use skills to influence global change and employment opportunities.

[BONUS] You have experience in the EOR or HR industry and employment practices in more than 1 country.

[BONUS] Proficiency in Zendesk, Asana, Notion, and Slack is a bonus.

[BONUS] You have the ability to speak languages other than English fluently.

You ll also need

A reliable home internet connection (or be able to get one)

Fluent English language skills

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KPH Healthcare Services


RCM Specialist - Collections
KPH Healthcare Services • Hoffman Estates, IL, United States • via Indeed
12 days ago
Full–time
No Degree Mentioned
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Job highlights
Identified by Google from the original job post
Qualifications
Ability to read and interpret medical records for billing purposes
Competent in mathematic equations
Ability to compute unit conversions for drugs
Understanding of CPT, HCPCS, ICD-10, and NDC codes
Diligent attention to detail
Excellent verbal and written communication
Understanding of HIPAA compliance
Self-directed, has the ability to work with little supervision
Proficiency in Excel, Outlook, and all other office applications
Familiarity with pharmacy management systems (CPR+, Wellsky, and CareTend, etc.)
Understanding of various insurance plan benefits, payer payment policies, and reimbursement procedures
Deep understanding of home infusion process, therapies, and related services
Ability to understand payer explanation of benefits
High school diploma or GED
One to three years of experience in Home Infusion or Specialty Pharmacy collections
Responsibilities
The Revenue Cycle Management Specialist- Collections responsibility is to ensure timely collection of outstanding balances
Manage the collection process for outstanding claims, including contacting insurance companies, patients, and other responsible parties via phone, email, and written correspondence
Investigate and resolve denied or partially paid claims, identifying root causes and implementing corrective actions
Collaborate with internal teams to address claims challenges and improve revenue cycle
Escalate complex or uncollectible accounts to management for further action
Submit appeals/claim corrections as needed within timely filing limits
Utilize billing software to maintain accurate and detailed records of all collection activities, including communication with payers and patients
Payer projects as assigned
Identify and report trends in claim denials and payment challenges
Communicate as needed with patients about billing issues, including the results of applications for financial hardship assistance and other responses to customer inquiries about
Support accurate and comprehensive record-keeping to ensure up-to-date information is maintained and effectively shared across departments
Assist in the implementation of processes to measure, assess, and improve the performance of the RCM department activities of the company
Ensure ongoing compliance with all laws and regulations; ensure that the department meets or exceeds accreditation standards; and implement "best practices" in all departmental
Participate in surveys conducted by authorized inspection
Participate in the company's Performance Improvement program as requested by the Performance Improvement
Participate in company committees when
Participate in in-service education programs provided by the company
Pursue continuing education programs appropriate to job
Perform other duties as assigned by
Complete all mandatory and regulatory training programs
Report any misconduct, suspicious or unethical activities to the Compliance
Complies with accepted professional standards and practice
Job description
Overview:

The Revenue Cycle Management Specialist- Collections responsibility is to ensure timely collection of outstanding balances.

Responsibilities:
• Manage the collection process for outstanding claims, including contacting insurance companies, patients, and other responsible parties via phone, email, and written correspondence.
• Investigate and resolve denied or partially paid claims, identifying root causes and implementing corrective actions.
• Collaborate with internal teams to address claims challenges and improve revenue cycle.
• Escalate complex or uncollectible accounts to management for further action.
• Submit appeals/claim corrections as needed within timely filing limits.
• Utilize billing software to maintain accurate and detailed records of all collection activities, including communication with payers and patients.
• Payer projects as assigned.
• Identify and report trends in claim denials and payment challenges.
• Communicate as needed with patients about billing issues, including the results of applications for financial hardship assistance and other responses to customer inquiries about
• Support accurate and comprehensive record-keeping to ensure up-to-date information is maintained and effectively shared across departments.
• Assist in the implementation of processes to measure, assess, and improve the performance of the RCM department activities of the company.
• Ensure ongoing compliance with all laws and regulations; ensure that the department meets or exceeds accreditation standards; and implement "best practices" in all departmental
• Participate in surveys conducted by authorized inspection
• Participate in the company's Performance Improvement program as requested by the Performance Improvement
• Participate in company committees when
• Participate in in-service education programs provided by the company.
• Pursue continuing education programs appropriate to job
• Perform other duties as assigned by
• Complete all mandatory and regulatory training programs.
• Report any misconduct, suspicious or unethical activities to the Compliance
• Complies with accepted professional standards and practice.

Qualifications:

Job Skill Requirements:
• Ability to read and interpret medical records for billing purposes.
• Competent in mathematic equations.
• Ability to compute unit conversions for drugs.
• Understanding of CPT, HCPCS, ICD-10, and NDC codes
• Diligent attention to detail.
• Excellent verbal and written communication.
• Understanding of HIPAA compliance.
• Self-directed, has the ability to work with little supervision.
• Proficiency in Excel, Outlook, and all other office applications.
• Familiarity with pharmacy management systems (CPR+, Wellsky, and CareTend, etc.)
• Understanding of various insurance plan benefits, payer payment policies, and reimbursement procedures.
• Deep understanding of home infusion process, therapies, and related services.
• Ability to understand payer explanation of benefits.

Educational Requirements:
• High school diploma or GED

Experience:
• One to three years of experience in Home Infusion or Specialty Pharmacy collections.

United States
Alabama
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