Jasper Health · 6 hours ago

RCM Customer Service Manager

United States

Full-time

Remote

Mid Level

3+ years exp

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Health CareMental Health

No H1B

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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.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Insurance VerificationClaimsBillingProvider RelationsMedical TerminologyGeneral Administrative SkillsMicrosoft OfficeGoogle Docs

Required

3-5 years of experience in customer/member service experience preferably from a health plan with a high-volume call center

3-5 years of experience in provider relations - experience dealing with provider calls and handling referrals

3-5 years of experience in claims and billing – experience with insurance verification, member benefits and eligibility, explanation of benefits, ERA, etc.

3-5 years of experience in 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.