Implementation Specialist

Full Time
Brentwood, TN 37027
Posted Today
Job description

Healthcare Without Rival

Premise Health is the world's leading direct healthcare provider and one of the largest digital providers in the country, serving over 11 million eligible lives across more than 2,500 of the largest commercial and municipal employers in the U.S. Premise partners with its clients to offer fully connected care – in-person and in the digital environment. It operates more than 800 onsite and nearsite wellness centers in 45 states and Guam, delivering care through the Digital Wellness Center and onsite, nearsite, mobile, and event solutions.

Premise delivers value by simplifying complexity and breaking down barriers to give diverse member populations access to convenient, integrated, high-quality care. We offer more than 30 products, delivering the breadth and depth of care required to serve organizations' total populations. The result is healthcare that meets the needs of members and their families, helping them live healthier while lowering costs for organizations.

Premise offers a wide range of dynamic, purpose-driven career opportunities. We are currently looking for a RCM Implementation Account Manager to join our team in Brentwood, TN. This position is a work from home role, but has an expectation to be in the corporate office one day, every 4 weeks for team meetings.

About the role:

As the RCM Implementation Account Manager you will ensure all items are accurately setup and communicated for each implementation and/or change as it relates to RCM.

Job Requirements:

  • Meets regularly with internal team members and externally with clients, payers and applicable consultants for all PM implementations, payer/plan/fee schedule changes, location additions and line of service adds
  • Completes documentation necessary for building and updating of PM file maintenance required for existing business and build/set up for new implementations
  • Serves as SME for Practice Management configuration related to RCM and enhancements to meet business needs
  • Analyzes data/trends to recommend process/procedure updates in order to enhance performance to better meet future customer requirements, as well as to determine the best use of resources
  • Works closely with other Revenue Cycle staff and leadership team, Project Managers, Phixit, AppConfig and Operations
  • Coordinates the creation of new and updated patient and insurance billing fee schedules to be imported into the Practice Management system
  • Responsible for ensuring documentation and workflow processes are updated related to existing client set up
  • Meets with all applicable RCM staff for appropriate information hand-off for each implementation/change
  • Meets all deadlines for implementations, changes and updates
  • Communicates progress of implementations and changes and completion to leadership

Education:

  • High School Graduate minimum education requirement, BS preferred or equivalent work experience

Experience:

  • A minimum of 3 - 4 years or more coordinating functional areas of revenue cycle management, required
  • A minimum of 3 – 4 years’ experience in practice management application configuration and implementation assistance, required
  • A minimum of 2 years managing projects within a revenue cycle management department, preferred
  • Demonstrated successful physician third party billing experience

Knowledge and Skills:

  • Possess strong analytical, problem solving, and decision making skills
  • Strong knowledge of CPT and ICD10 coding within a practice setting
  • Effectively utilize Microsoft Office tools (Excel, Word, and PowerPoint)
  • Highly developed written and verbal communication skills.
  • Strong background working in practice management system(s). Knowledge and use of EPIC is a plus.
  • Must be able to work independently in a manner to achieve goals, objectives and productivity requirements.


Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers benefits packages including medical, dental, vision, life insurance, 401(k), paid holidays and vacation time, a company-sponsored wellness program, and much more our talent acquisition team will be happy to share with you.

Premise Health is an equal opportunity employer; we value inclusion, and we do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.

To support Premise Health’s commitment to the safety, health and wellbeing of our team members, clients and patients, Premise Health encourages all new team members to be fully vaccinated and up to date with a COVID-19 vaccine. Where applicable state or local laws or a client require, individuals who are offered and accept a position with Premise Health will be required to provide proof of vaccination in the form of a CDC vaccination card as part of the pre-employment onboarding process. *

  • Except where a reasonable medical or religious accommodation can be granted.

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