RCM Client Success Representative

7 hours ago

India PracticeTek Full time ₹ 2,00,000 - ₹ 6,00,000 per year

Our Company:  PracticeTek is a large and established healthcare technology company, providing comprehensive software solutions to dental, orthodontic, chiropractic, optometry, and other healthcare clinics. We empower clinicians and their teams to deliver better patient care through innovative and user-friendly technology.  

At PracticeTek, you'll have the opportunity to:  

Work with dynamic technology solutions that are constantly evolving to meet the needs of the healthcare industry.  Collaborate with a talented and passionate team of individuals who are dedicated to improving the lives of patients and healthcare providers.  Make a real impact on the healthcare industry by helping to improve efficiency and quality of care.  Build a rewarding career with opportunities for growth and development.  The RCM Department: For us at PracticeTek, executing on RCM means understanding customer needs and becoming excellent at meeting them; we ensure practitioners are paid quickly and accurately.   As the RCM Client Success Representative, you serve as a key resource for clients and you will be responsible for assisting with addressing client inquiries, coordinating with internal teams, auditing accounts including taking next appropriate action to resolve claim issues and identifying process improvements.  You will ensure clients needing extra help beyond our Tier 1 support get the individualized, claim-level attention needed.  The measurement of success is case closure rates and turnaround times, NPS, reference and retention rates.  

Job functions include and are not limited to: Respond to cases opened by clients as escalated by our Tier 1 Support reps. These cases may relate to specific claims, denial types or other issues where the client needs clarity of the issue or process and expedited resolution of the claim.Conduct routine audits to uphold performance standards.  Conduct reviews of steps taken to resolve claims or other RCM standard processes, determine root cause analysis on errors or delays in resolution and contribute to solutions to minimize future risk as well as expediting claim resolution. Provide collaboration and coordination between multiple stakeholders and clients to ensure efficient resolution of claim-level issues, requests and responses from either party.Other ad hoc activities and projects as assigned. Our ideal candidate has the following:Bachelor's Degree preferred and/or training or equivalent combination of education and experience3+ years' experience in Revenue Cycle Management, including knowledge of billing, common denials, posting, electronic transaction formats and overall practice management in a small practice settingExcellent fluency in written and oral communication in EnglishProficient in healthcare billing software/clearinghouses and EHR/PM platforms and RCM tools; familiarity with payer regulations, coding practices and insurance workflowsStrong working knowledge of Microsoft Office: Excel, Outlook, PowerPoint and WordStrong organizational skills to maintain accurate documentation and follow up on client needsChiropractic, vision or therapy specialty experience is a plus; professional certifications in healthcare billing, coding or practice management preferredFlexibility of schedule in various US time zones

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