Salary $55,000 - $60,000 a year job type full-time
Full job description
Healthcare without rival
Premise health is the world`s leading direct healthcare provider and one of the largest digital providers in the country, serving over 11 million eligible lives across more than 2,500 of the largest commercial and municipal employers in the u.sPremise partners with its clients to offer fully connected care – in-person and in the digital environmentIt operates more than 800 onsite and nearsite wellness centers in 45 states and guam, delivering care through the digital wellness center and onsite, nearsite, mobile, and event solutions.
Premise delivers value by simplifying complexity and breaking down barriers to give diverse member populations access to convenient, integrated, high-quality careWe offer more than 30 products, delivering the breadth and depth of care required to serve organizations` total populationsThe result is healthcare that meets the needs of members and their families, helping them live healthier while lowering costs for organizations.
Premise offers a wide range of dynamic, purpose-driven career opportunitiesWe are currently looking for a rcm account manager to join our team remotely.
About the role:
As the rcm account manager you will be the primary owner of the client and payor relationshipThe am is also responsible for providing and managing exceptional revenue cycle management service and creating highly satisfied customer experiencesThe am engages during client onboarding, works strategically, proactively and collaboratively, aligning revenue cycle operations and clinic operations to ensure effective outcomes
The account manager (am) is focused on client success and is tasked with seeking opportunities to review, report on and advise clinic operations regarding strategic practice improvementsThe am must have a keen understanding of the contributing variables, practice activities and other drivers of client success kpisThe am is responsible for directing the work of the ar team members which will includes billing specialist and ar specialistsThe am has the overall responsibility for the performance of the clinic revenue cycle kpis (e.gDays in accounts receivable, first pass payment resolution, best practice office workflow which results in timely signed visits), subject matter expertise, and client satisfaction ratings are the primary measures of success.
Establishing and maintaining system parameters that support timely submission of claims to payers resulting in payment maximization that is both efficient and effective.
Utilizing system tools to identify at risk accounts and determine actions required by the ar team or clinic.
Managing client accounts receivable, including analyzing by category and by payer and offering strategic solutions to reduce time in aging.
Directing the ar team on follow up work to determine unpaid claim status and taking appropriate actions to ensure prompt payment.
Identifying the root cause of issues impacting proper and timely first pass payment results and working with the ar team and clinic resources to implement process and system changes to drive results.
Sme in revenue cycle management, which includes monthly and quarterly reporting to client, identifying issues affecting performance, and recommending actions to drive success.
Deliver exceptional customer service by resolving patient escalations timely.
Serves as the primary point of contact for the health center operations, and triages issues or tasks to the appropriate ar team member.
Collaborate with internal teams to identify improvements needed to enhance the client experience, service, product, and process to support value proposition.
Identifying, articulating, and championing client needs and desires to operations management for resolution.
May require other duties as assigned.
High school graduate minimum education requirement, bs preferred or equivalent work experience
2-3 years previous experience in healthcare account management, customer service, revenue cycle operations or accounting.
Knowledge and skills:
Strong knowledge of medical billing including commercial payers, medicare, medicaid, workers’ compensation and patient responsibility is highly desirable epic systems experience desirable
Work-life balance is at the foundation of how decisions are made and where premise is headedWe can only help people get, stay, and be well if we do the same for ourselvesIn addition to competitive pay, premise offers benefits packages including medical, dental, vision, life insurance, 401(k), paid holidays and vacation time, a company-sponsored wellness program, and much more our talent acquisition team will be happy to share with you.
Premise health is an equal opportunity employer; we value inclusion, and we do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.
For individuals living in colorado only, premise health is required to include an estimate of the salary and benefits for this roleWhile a number of factors influence salary, our estimated colorado compensation is $55,000 - $60,000Please note, this is a general guideline and your experience qualifications, geographic location, and other factors will be taken into considerationFor more information regarding the benefits we offer, please visit our career site, jobs.premisehealth.com/benefits.
To support premise health’s commitment to the safety, health and wellbeing of our team members, clients and patients, premise health encourages all new team members to be fully vaccinated and up to date with a covid-19 vaccineWhere applicable state or local laws or a client require, individuals who are offered and accept a position with premise health will be required to provide proof of vaccination in the form of a cdc vaccination card as part of the pre-employment onboarding process**except where a reasonable medical or religious accommodation can be granted.
As permitted by applicable law.
Posted 24 days ago