RCM Customer Success Specialist 1
Core
Entry-level client-facing specialist providing tactical support for assigned healthcare practice accounts by managing transactional tasks, claim reviews, and operational health.
Role type
Associate RCM Client Advisor (Entry-level IC)
Builds
Operational health and claim resolution for healthcare practice accounts
Domain
Healthcare / Revenue Cycle Management
Deliverable
client delivery
Required skills
Medical billing and coding knowledge, Insurance carrier knowledge (Medicare, HMOs, PPOs), Microsoft Excel, Claim-level denial review, Patient balance review, Demographic review, Case triage, SLA management
Preferred skills
Medical Billing Certification, Bachelor's Degree
Technologies
Microsoft Excel, PowerPoint
Responsibilities
Manage incoming client emails, support cases, and transactional questions regarding charges, payments, and claims; Conduct claim-level denial reviews, patient balance reviews, and demographic reviews with client practice staff; Manage phone queues related to transactional questions; Identify and escalate larger claim issues, recurring trends, or contract-related matters; Oversee daily support management across approximately 20 assigned client accounts; Act as a Business Systems Analyst by reviewing individual client issue examples to diagnose underlying problems; Identify repetitive workflow bottlenecks and suggest improvements; Assist in authoring and executing tactical risk mitigation plans for at-risk accounts; Identify client pain points and operational gaps.
Seniority
Entry-level, hands-on IC