
Client Services Specialist
Posted 1 day ago

Posted 1 day ago
This is a fully remote position, open to applicants in Pennsylvania, +1 more state.
• Manage the revenue cycle for designated clients, ensuring that key performance indicators (KPIs), retention rates, and revenue timelines are achieved.
• Act as the main point of contact and connector between practices and the Sutherland Global RCM team.
• Build strategic advisory relationships by comprehending billing needs, long-term strategies, and objectives.
• Offer insights into clients’ financial status and advice on solutions to meet their targets.
• Conduct business review presentations, evaluate client satisfaction, and pinpoint opportunities for revenue-cycle enhancements.
• Report monthly trends in denials and rejections while suggesting process improvements.
• Record meeting notes, client relationship data, and specific client instructions in Salesforce and client blueprints.
• Address client needs, resolve disputes, and deliver timely solutions.
• Make independent business decisions concerning client billing issues.
• Approve and implement workflow changes that may have financial implications.
• Develop and track action plans for client escalations and concerns.
• Maintain consistent communication with practice RCM contacts through phone, email, and OP messages.
• Identify clients at risk and take necessary actions to address issues and retain their business.
• Guide and educate the Sutherland team on clarifications, assistance requests, and outstanding accounts receivable.
• Collaborate with RCM and Sutherland leadership to address quality, productivity, and turnaround time barriers.
• Establish and uphold system parameters to support prompt claim submissions and maximize payments.
• Enhance operational efficiencies, including OP software performance, and assist with automation efforts.
• Work alongside the Account Manager to optimize the use of OP software and identify client training requirements.
• Monitor newly onboarded clients for six weeks following their go-live date.
• Maintain expert knowledge of payer guidelines for the assigned geographic territories.
• Manage the offboarding process for clients leaving RCM services.
• Bachelor’s degree, professional certifications, and/or a relevant combination of experience.
• At least 5 years of comprehensive RCM, EMR, and customer service experience.
• Profound understanding of full cycle RCM, EHR systems, and ICD-10/CPT coding.
• Familiarity with CPT and ICD10 coding.
• Proficiency in Microsoft Office.
• Experience with Google Docs.
• CPC certification is a plus.
• Ability to effectively and independently manage multiple tasks.
• Capability to prioritize workload efficiently.
• Understanding, support, enforcement, and compliance with company policies, procedures, and Standards of Business Ethics and Conduct.
• Comfort in working with various systems and software applications.
• Ability to effectively prioritize and execute tasks under pressure.
• Strong active listening, interpersonal, written, and verbal communication skills.
• Problem-solving abilities.
• Decision-making skills.
• Ability to communicate professionally and meaningfully with clients and employees.
• Medical, prescription, vision, and dental insurance.
• Life insurance.
• 401(k) plan with company matching.
• Paid time off, holidays, and volunteer hours.
• Company wellness program.
• Employee assistance program.
• Short and long-term disability insurance.
• Pet insurance.
• Tuition assistance program.
• Employee recognition program.
Wasserman
The Cigna Group
Marsh McLennan
Quadax, Inc.
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