United States onlyFounded in 2010 by CEO Jason Langheier, MD, MPH, Foodsmart has supported over 1.5 million members from over 700 health plan, employer and health system clients, and raised over $70 million in funding from leading strategic and venture investors like Advocate Aurora Health, Blue Cross Blue Shield Massachusetts, Seventure (Natixis), Mayfield and Founder Collective.
Learn more at www.foodsmart.com
About the role:The Revenue Cycle Operations team is a highly collaborative and cross-functional team that manages the end-to-end patient billing processes and patient billing experience. The ideal candidate for this role will have extensive medical billing and claims knowledge and a passion for improving the overall RCM through product innovation and automation.The role must be prepared to go beyond submitting claims to insurance carriers, addressing denied and rejected claims, and communicating issues to the team. It also requires a meaningful commitment to improving the RCM product suite at Foodsmart, including, but not limited to: identifying pain points in our processes and systems; collaboratively arriving at requirements with stakeholders around the business; working with Engineering to provide feedback on the developed solution(s); and maintaining a permanent growth mindset around quality assurance and enhancement of our RCM product ecosystem.
Key Responsibilities:
- Own the end-to-end customer billing processes and experience: Manage all billing communications, ensuring a seamless process for both patients and health plans.
- Claims Management: Follow up on claims submissions to monitor reimbursement, communicate directly with our RCM partners and health plans to resolve billing matters.
- Error Analysis: Research, analyze, and review submitted claim errors and rejections, identifying areas for correction and implementing necessary changes to improve accuracy.
- Reporting and Documentation: Handle and prepare insurance claims and billing reports, contributing to the month-end closing processes.
- Stakeholder Liaison: Act as the primary liaison between internal stakeholders (including finance, product, and engineering teams) and external partners, ensuring effective communication and resolution of billing issues.
- Process Improvement: Identify pain points in our processes and systems, collaboratively arrive at requirements with stakeholders, and work with Engineering to provide feedback on developed solutions.
- Mentorship and Team Building: Support the growth of the RCM team, providing guidance and potentially adding new resources to enhance team capability.
You will:
- Own the end to end customer billing processes and experience to manage all billing communications
- Follow up on claims submission to monitor reimbursement, communicate directly with our RCM partners and health plans to resolve billing matters
- Research, analyze, and review submitted claim errors and rejections, identifying areas for correction and implementing necessary changes to improve accuracy.
- Handle and prepare insurance claims and billing reports and contribute to the month end closing processes
- Address patient and health plan billing issues in collaboration with health plan managers.
You are:
- Advocate for Foodsmart by identifying and actively addressing challenges and roadblocks that may hinder reimbursements.
- Secure timely and complete reimbursements for the company by driving successful claims submissions through proactive efforts.
- Take pride in your work and approach every project with enthusiasm and excitement.
- Adaptable
You have:
- Possesses 3-5 years of expertise in patient or medical billing, including claims submission and processing.
- Proficiency with Google Suite, including Google sheets and slides
- Tangible outcomes throughout your career, or at minimum a proven curiosity, to enhance systems and product for improved claims collections and data visibility
- Previous experience working with different EMR and RCM softwares, as well as a diverse set of health plan portals
- Strong written and verbal communication skills in working with health plan partners to resolve payment issues favorably
Remote-First CompanyUnlimited PTOHealthcare Coverage (Medical, Dental, Vision)401k, bonus, & stock optionsGym reimbursement
Foodsmart is an equal opportunity employer and values diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or any other protected class.
