RCM Customer Service Manager

CRM Hike; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player in digital health is seeking a dedicated professional to enhance cancer care experiences. This role involves strategic leadership in administrative operations, focusing on insurance verification and patient education. Join a passionate team committed to transforming healthcare through technology and design. With a culture that values collaboration and innovation, you'll have the opportunity to make a significant impact in the lives of those affected by cancer. If you have a background in customer service and are eager to contribute to meaningful change, this position is perfect for you.

Benefits

Flexible Paid Time Off (PTO)

Health Insurance

Dental Insurance

Vision Insurance

Short Term Disability

Long Term Disability

Life Insurance

401(k) Retirement Plan

Flexible Spending Accounts

Employee Assistance Program

Qualifications

• 3-5 years experience in customer service, insurance verification, and claims processing.
• Strong understanding of medical terminology and ability to interact with patients.

Responsibilities

• Verify insurance and update patient information.
• Educate patients about their financial responsibilities and coverage.
• Handle claims, billing, and maintain confidentiality.

Skills

Customer Service

Insurance Verification

Claims and Billing

Medical Terminology

Provider Relations

Job description

Jasper 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 is dedicated to making cancer care a more human experience. Jasper Health raised $25M in Series A funding led by General Catalyst.

Jasper Health has a passionate team of world-class leaders in digital health, oncology, customer-centered design, and data science. We are rapidly adding talent to our team - come join us!

Reporting to the Director of MSO Operations, this role will be responsible for the strategic direction and leadership for the overall administrative operations, which includes staff and service administration. This role is to effectively and efficiently manage the development and directions of the operational processes to drive the growth of revenue, technical productivity, and promote high-quality satisfaction while building relationships (internal and external) and ensuring the integration of strategic plans with company operations.

Role and 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
• 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

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.

Benefits Include

• 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

Conditions of Employment

• You must be authorized to work in the United States
• Applicants will be required to pass a background check as a condition of employment

Equal Employment Opportunity Policy

Jasper 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.

Apply for this job

First Name *

Last Name *

Email *

Phone

Resume/CV *

Enter manually

Accepted file types: pdf, doc, docx, txt, rtf

Are you currently authorized to work in the country outlined for this job? (Answer No if you require Visa sponsorship) *

We are currently not hiring in the following states CA, NY, WA, CO. Do you reside in one of these states? *