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Office Practicum · 21 hours ago

RCM Client Services Specialist

Fort Washington,PA,US

Full-time

Hybrid

Senior Level

5+ years exp

Office Practicum is a company focused on revenue cycle management in the healthcare sector, and they are seeking a Client Services Specialist. The role involves overseeing the revenue cycle for assigned clients, ensuring they meet key performance indicators, and serving as the primary liaison between clients and the internal team to drive revenue improvements and provide guidance.

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Responsibilities

Establish a strategic advisor relationship with clients by understanding their practice’s billing requirements, long term strategy and goals

Proactively provide insight on the financial health of their business and guidance on solutions and steps to bridge the gap to ensure their goals are achieved

Complete business review presentations with clients to effectively communicate practice financial health, determine current level of client satisfaction and identify opportunities to improve the revenue cycle

Report monthly denial and rejection trends internally and externally and recommend process improvements to prevent future denials and rejections

Ensure all meeting notes and client relationship documentation are documented in Salesforce and client specific instructions are documented on the client blueprint

Act as primary client point of contact to handle individual needs, resolve conflicts, and provide solutions to customers in a timely manner

Exercise sound judgment and make independent business decisions related to solving client related billing matters

Approve and implement workflow modifications to meet client needs that may have significant financial impact to OP and/or the practice

Develop and monitor action plans related to client escalations/concerns

Maintain regular contact with RCM contacts at the practice via phone, email, and OP messages

Identify at-risk clients and determine actions required to resolve concerns and retain clients

Provide guidance and education to the Sutherland team on clarifications, help items, and resolving outstanding AR

Collaborate with RCM and Sutherland leadership on quality/productivity/TAT barriers

Establish and maintain system parameters that support timely submission of claims to payers resulting in payment maximization that is both efficient and effective

Improve operational efficiencies to include OP software performance and assist with automation initiatives

Collaborate with Account Manager to optimize use of OP software and identify client training needs

Ensure success of newly implemented clients with enhanced monitoring of clients for the 6 weeks post go-live

Maintain expert knowledge of payer guidelines for assigned geographic areas in collaboration with payer rules specialist and team leads

Complete offboarding process for clients exiting RCM services

Qualification

Full cycle RCMEHR systemsICD-10 / CPT codingCustomer Service experienceSalesforceMicrosoft OfficeGoogle DocsProblem solvingDecision makingInterpersonal communicationActive listening