Experienced RCM Customer Service Manager – Healthcare Operations and Revenue Cycle Management
At arenaflex, we're revolutionizing the way cancer care is delivered by pairing people experiencing cancer with American Cancer Society-certified counselors for virtual, 1-on-1 support. Our team of healthcare, technology, and consumer industry experts are dedicated to making cancer care a more human experience. With a passion for innovation and a commitment to excellence, we're rapidly adding talent to our team – come join us!
About arenaflex
arenaflex Health has a passionate team of world-class leaders in digital health, oncology, customer-centered design, and data science. We've raised $25M in Series A funding led by General Catalyst, bringing our total funding to approximately $31 million. Our mission is to make cancer care a more human experience, and we're committed to achieving this goal through our cutting-edge technology and compassionate approach.
Job Summary
We're seeking an experienced RCM Customer Service Manager to join our team at arenaflex. This role will be responsible for the strategic direction and leadership of our administrative operations, including staff and service administration. The successful candidate will effectively and efficiently manage the development and direction of operational processes to drive revenue growth, technical productivity, and high-quality satisfaction while building relationships (internal and external) and ensuring the integration of strategic plans with company operations.
Key Responsibilities
As an RCM Customer Service Manager at arenaflex, you will be responsible for:
- 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
Knowledge, Skills, and Abilities Required
To be successful in this role, you will need:
- 3-5 years of experience in each of the following areas:
+ Customer/member service experience preferably from a health plan with a high-volume call center + Provider Relations - experience dealing with provider calls and handling referrals + Claims and billing – experience with insurance verification, member benefits and eligibility, explanation of benefits, ERA, etc. + 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
- Excellent communication and interpersonal skills
- Strong problem-solving and analytical skills
- Ability to work in a fast-paced environment and prioritize multiple tasks and responsibilities
Benefits
As an RCM Customer Service Manager at arenaflex, you will enjoy a comprehensive benefits package, including:
- Flexible Paid Time Off (PTO)
- Health, Dental, and Vision Insurance
- Short Term / Long Term Disability
- Life Insurance
- 401(k) Retirement Plan
- Flexible Spending Accounts
- Employee Assistance Program
- And more...
Conditions of Employment
To be eligible for this role, you must:
- Be authorized to work in the United States
- Pass a background check as a condition of employment
Equal Employment Opportunity Policy
arenaflex Health, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Why Join arenaflex?
At arenaflex, we're passionate about making cancer care a more human experience. We're committed to innovation, excellence, and compassion, and we're seeking talented individuals who share our vision. As an RCM Customer Service Manager, you will have the opportunity to work with a talented team of healthcare, technology, and consumer industry experts, and to make a meaningful impact on the lives of people experiencing cancer. If you're passionate about healthcare, customer service, and revenue cycle management, and you're looking for a challenging and rewarding role, we encourage you to apply to this exciting opportunity. Apply for this job