RCM Implementation Specialist

Revenue Cycle Management JobsHybrid Remote, Brentwood, Tennessee


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.S. Premise partners with its clients to offer fully connected care – in-person and in the digital environment. It 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 care. We offer more than 30 products, delivering the breadth and depth of care required to serve organizations' total populations. The 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 opportunities. We are currently looking for a RCM Implementation Specialist to join our team in Brentwood, TN.

About the role: The Implementation Specialist (IS) is responsible for ensuring Revenue Cycle systems and processes are set up accurately and timely for all new and existing client implementations and changes. Team members coordinate setup for accounts in EPIC. The IS will ensure all items are accurately setup and communicated for each implementation and/or change as it relates to RCM.

Essential Functions:

  • Meets regularly internally and externally with payers and clients for all implementations; payer/plan/fee schedule/location additions/changing.
  • Completes documentation necessary for building and updating of PM file maintenance required for existing business and build/set up for new implementations
  • Tracks all change requests as it relates to fee schedules, payer/plan changes and matrices updates
  • Works closely with other Revenue Cycle staff, leadership team and Operations
  • Responsible for ensuring documentation and workflow processes are updated related to existing client set up
  • Meets with all applicable RCM staff for appropriate information hand-off for each implementation/change
  • Meets all deadlines for implementations, changes and updates
  • Communicates progress of implementations, changes and completion to RCM staff and leadership

Job Requirements:
  • High School Graduate, minimum education requirement or equivalent work experience
  • Higher education, preferred
  • A minimum of 2-4 year or more experience in revenue cycle management, required
  • A minimum of 2-4 year experience in practice management application configuration and implementation assistance, required
  • A minimum of 2-4 years managing projects within a revenue cycle management department, preferred
  • A minimum of 2-4 year or more experience in third party billing in a revenue cycle management department, required
Preferred Experience:
  • Possess strong analytical, problem solving, and decision making skills
  • Effectively utilize Microsoft Office tools (Excel, Word, and PowerPoint)
  • Highly developed written and verbal communication skills.
  • Knowledge of CPT and ICD10 coding, preferred
  • Strong background working in practice management system(s). Knowledge and use of EPIC is a plus.
  • Must be able to work independently in a manner to achieve goals, objectives and productivity requirements.

Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In 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.

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 vaccine. Where 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.

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