RCM Customer Service Manager

3-5 years customer/member service experience (health plan/high-volume call center preferred) 3-5 years provider relations experience (dealing with provider calls and referrals) 3-5 years claims and billing experience (insurance verification, member benefits and eligibility, explanation of benefits, ERA) General administrative skills (Microsoft, Google Docs) Strong understanding of medical terminology (CPT codes, diagnoses, treatments) Ability to interact with patients and insurance companies over the phone and in person

Verifying insurance for new and existing patients Obtaining pre-authorization for recommended services Explaining financial responsibilities to patients Educating patients about insurance coverage Informing clinical staff of denials Answering questions about billing and insurance Estimating cash payments for patients Verifying and correcting customer and insurance data Maintaining patient information confidentiality Reviewing batch claims for submission Reviewing and working ERAs and denials Collecting and posting co-payments, deductibles, and co-insurance