Rcm Customer Service Manager

Summary

Join Jasper Health, a rapidly growing digital health company, as a Medical Billing Specialist! Reporting to the Director of MSO Operations, you will be responsible for the strategic direction and leadership of administrative operations, including staff and service administration. You will manage operational processes to drive revenue growth and ensure high-quality patient satisfaction. This role requires 3-5 years of experience in customer service, provider relations, and claims and billing within a healthcare setting. Jasper Health offers a comprehensive benefits package including flexible PTO, health insurance, disability and life insurance, a 401k plan, and more.

Requirements

• 3-5 years of experience in each of the following areas
• Customer/member service experience preferably from a health plan with a high-volume call center
• Provider Relations - experience dealing with provider calls and handling referrals
• Claims and billing – experience with insurance verification, member benefits and eligibility, explanation of benefits, ERA, etc
• General administrative skills – Microsoft, Google docs, etc
• Strong understanding of medical terminology, such as CPT codes, diagnoses, and treatments
• Ability to interact with patients and insurance companies over the phone and in person
• You must be authorized to work in the United States
• Applicants will be required to pass a background check as a condition of employment

Responsibilities

• Verifying insurance: Checking the status of new and existing patients' insurance, and updating information as needed
• Obtaining pre-authorization: Calling to get pre-approval for recommended services and procedures
• Explaining financial responsibilities: Informing patients of their financial obligations
• Educating patients: Teaching patients about their insurance coverage
• Informing clinical staff: Notifying relevant clinical staff of denials
• Answering questions: Answering questions about billing and insurance
• Calculating cash estimates: Estimating cash for patients' upcoming visits or procedures
• Verifying customer and insurance data: Reviewing, correcting, deleting, or reentering data
• Maintaining confidentiality: Protecting patient information and maintaining customer confidence
• Reviewing batch claims for submission
• Reviewing and working ERAs and denials
• Collecting co-payment, deductible, co-insurance and posting payments

Benefits

• Flexible Paid Time Off (PTO)
• Health, Dental and Vision Insurance
• Short Term / Long Term Disability
• Life Insurance
• 401(k) Retirement Plan
• Flexible Spending Accounts
• Employee Assistance Program