Experienced RCM Customer Service Manager – Healthcare Operations and Revenue Cycle Management

At blithequark, we're revolutionizing the way people experience cancer care by pairing them with American Cancer Society-certified counselors for virtual, 1-on-1 support. Our team of healthcare, technology, and consumer industry experts are dedicated to making cancer care a more human experience. With a passion for innovation and a commitment to excellence, we're rapidly adding talent to our team – and we're excited to welcome a seasoned RCM Customer Service Manager to join our mission.

About blithequark

blithequark Health pairs people experiencing cancer with American Cancer Society-certified counselors for virtual, 1-on-1 support. Our team of healthcare, technology, and consumer industry experts are dedicated to making cancer care a more human experience. We've raised $25M in Series A funding led by General Catalyst, bringing our total funding to approximately $31 million. With a passionate team of world-class leaders in digital health, oncology, customer-centered design, and data science, we're committed to delivering exceptional care and support to our patients.

Role and Responsibilities

As our RCM Customer Service Manager, you'll play a critical role in driving the growth of revenue, technical productivity, and promoting high-quality satisfaction while building relationships (internal and external) and ensuring the integration of strategic plans with company operations. Your responsibilities will include:

• 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
• 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
• Reviewing batch claims for submission
• Reviewing and working ERAs and denials
• Collecting co-payment, deductible, co-insurance and posting payments

Knowledge, Skills, and Abilities Required

To succeed in this role, you'll need:

• 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.

Benefits

As a valued member of our team, you'll enjoy a range of benefits, including:

• 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
• And more…

Conditions of Employment

To be considered for this role, you must:

• Be authorized to work in the United States
• Pass a background check as a condition of employment

Equal Employment Opportunity Policy

blithequark Health, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Remote Work Opportunity

This role is available as a remote work opportunity. If you're passionate about making a difference in the lives of people experiencing cancer, and you're looking for a challenging and rewarding role, we encourage you to apply.

How to Apply

If you're ready to join our mission and make a difference in the lives of people experiencing cancer, please submit your application through the link below. Apply To this Job Apply for this job