EverHealth - RCM Service Manager

EverCommerce
109d$60,000 - $70,000

About The Position

At EverCommerce [Nasdaq: EVCM], we are on a mission to digitally transform the service economy with tailored, end-to-end SaaS solutions that simplify and empower the lives of our 685,000+ customers. As a leading service commerce platform, our modern digital and mobile applications create predictable, informed, and convenient experiences between customers and their service professionals in the areas of Home & Field Services, Health Services, and Fitness & Wellness industries. We are building an extraordinary company and looking for talented, energetic, and motivated people to join our team. We are looking for an RCM Service Manager to focus on DrChrono’s Revenue Cycle Management customers. Our mission is to build a technology platform that enables medical practices of all sizes to make care more informed, more personalized, more interactive, and more adaptable. Our platform has been used by thousands of physicians who in turn have provided care to millions of patients. DrChrono is the place for talented, driven sales professionals who are passionate about the future of healthcare and building a rewarding career in sales.

Requirements

  • Minimum of 3 years experience in healthcare account management or revenue cycle operations.
  • Customer-facing experience and knowledge of medical billing/coding, front-office, physician practice management, and healthcare business processes.
  • Strong understanding of various insurance carriers, including Medicare, private HMOs, PPOs, and HIPAA regulations.
  • Strong analytical and problem-solving skills.

Nice To Haves

  • Advanced Excel skills such as the ability to use formulas to analyze data, create tables and Pivot tables.
  • EHR / Healthcare experience.
  • Experience using Salesforce, Slack, Zoom, GSuite, Docusign.
  • Strong organizational skills and exceptional follow-through abilities.
  • Goal-oriented and data-driven.
  • Excellent written and verbal communication skills and strong customer service skills.

Responsibilities

  • Oversee the day-to-day billing and collections operations teams.
  • Be the main point of contact for assigned clients regarding practice performance, issue resolution, and anything else related to the medical billing process.
  • Ensure billing and collection activities are timely and accurate.
  • Create and review monthly reports to analyze outcomes, performance, and identify trends.
  • Ensure HIPAA privacy and security regulations are being followed.
  • Establish and maintain system parameters that support timely submission of claims to payers.
  • Manage Client accounts receivable, including analyzing by category and by payer.
  • Direct the AR team on follow up work to determine unpaid claim status.
  • Deliver exceptional customer service by resolving patient escalations timely.
  • Collaborate with other departments on software functions, workflows and best practices.
  • Build out and document practice and company-specific protocols and processes.
  • Provide information pertaining to billing, coding, managed care networks, insurance carriers and reimbursement to the Executive team or clients as needed.
  • Attend relevant seminars to remain abreast of current issues regarding revenue cycle management, Medicare compliance and HIPAA.
  • Assist clients with transactional changes to their accounts.
  • Develop knowledge of clearinghouse technology for eligibility verification, claim submission, and claim status.

Benefits

  • Flexibility to work where/how you want within your country of employment – in-office, remote, or hybrid.
  • Robust health and wellness benefits, including an annual wellness stipend.
  • 401k with up to a 4% match and immediate vesting.
  • Flexible and generous (FTO) time-off.
  • Employee Stock Purchase Program.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

1,001-5,000 employees

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