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Revenue Cycle Management Specialist

Ensure customer medical claims are reimbursed accurately and timely 

The Revenue Cycle Management Specialist will oversee the end-to-end revenue cycle processes for a portfolio of healthcare clients. This role is focused on managing claims processing, denial resolution, payment reconciliation, and revenue cycle optimization to ensure each client maximizes their revenue potential. The ideal candidate will have a strong technical understanding of healthcare billing and coding, extensive experience in working with electronic data interchange (EDI) systems, and a client-focused approach to driving operational efficiency across multiple customers.  This is a full-time position open to remote work or located in our office in Charlottesville, VA.

WHAT WE NEED YOU TO DO:

  • Client Support: Act as the primary point of contact for assigned clients, overseeing their revenue cycle operations, and ensuring their unique needs are met within the scope of services provided.
  • Multi-Client Claims Management: Process, track, and follow up on insurance claims for multiple clients to ensure accuracy and timeliness in submission. Coordinate with clients to gather any missing or additional information needed for claims resolution.
  • Denial Resolution and Appeals: Monitor and analyze denied claims across client accounts, lead root cause analyses, and implement strategies to reduce denial rates. Prepare and submit appeals on behalf of clients to recover denied payments.
  • Reporting and Analytics for Clients: Generate, interpret, and present revenue cycle reports, KPIs, and performance metrics tailored to each client’s needs. Provide insights and actionable recommendations to improve revenue collection and reduce cycle times.
  • Client Training and Communication: Conduct regular check-ins and training sessions with clients on new updates, RCM best practices, and software usage. Communicate effectively with client teams to address any questions or concerns about their revenue cycle performance.

WHAT WE NEED YOU TO BE:

  • Passionate - about building incredible, powerful, simple to use software experiences
  • An entrepreneurial thinker - Drive better products through understanding customer problems and developing innovative solutions
  • Curious - seek to truly understand the customer's pain points
  • Collaborative - share work early and often and seek out constructive feedback from your peers and stakeholders
  • A problem solver - someone who possesses a highly tuned thought process that yields creative solutions to big challenges
  • Independent and organized - provide solutions with minimal guidance
  • Innovative - with the ability to consistently push boundaries and design standards to the next level

WHAT WE NEED YOU TO DEMONSTRATE:

    • Experience: 3-5 years of experience in revenue cycle management, preferably with a focus on managing RCM for multiple healthcare clients.
    • Certifications (Bonus): Certified Revenue Cycle Representative (CRCR), Certified Professional Biller (CPB), or Certified Professional Coder (CPC).
    • Technical Skills: Strong proficiency in medical billing and EDI systems, experience with ICD-10, CPT coding, and familiarity with claims processing automation tools.
    • Analytical and Problem-Solving Skills: Ability to analyze complex revenue cycle data, resolve claim denials efficiently, and provide actionable insights to clients.
    • Client Management: Excellent communication and interpersonal skills with a strong customer service orientation. Experience managing multiple clients and tailoring solutions to meet specific needs.

ABOUT WELLD HEALTH:

Founded in 2017, Welld Health is a privately owned startup seeking to change the way people receive their healthcare. Welld’s innovative health record platform empowers gyms, YMCAs, and other community-based organizations to take their place in the healthcare ecosystem.

 

account manager

Account Manager

HELP OUR CUSTOMERs Succeed 

We are looking for an enthusiastic and proactive Account Manager to join our growing team. In this role, you will manage client relationships from onboarding through deployment and ongoing business reviews. Your goal will be to ensure clients have a smooth experience and achieve success with our solutions. You will also provide comprehensive support, acting as a key point of contact for all customer needs. This is a full-time position open to remote work or located in our office in Charlottesville, VA.

WHAT WE NEED YOU TO DO:

  • Client Onboarding & Product Launch:
    • Guide new clients through the onboarding process, ensuring a seamless and positive experience.
    • Develop and execute customized implementation plans, setting clear milestones and expectations.
    • Train clients on product features and functionality, ensuring they are prepared for a successful launch.
  • Relationship Management:
    • Serve as the primary liaison between clients and internal teams, understanding each client's unique goals and challenges.
    • Conduct regular check-ins and business reviews to monitor progress, assess satisfaction, and identify areas for improvement.
    • Foster strong, long-term relationships with clients by delivering consistent value and strategic guidance.
  • Customer Support:
    • Provide responsive and effective support to resolve client inquiries and issues, collaborating with technical teams when necessary.
    • Proactively monitor account health and anticipate potential challenges, offering solutions to improve outcomes.
    • Act as a problem solver for clients, addressing questions related to product use, features, and overall performance.
  • Business Reviews & Strategy:
    • Prepare and present business reviews that outline key metrics, successes, and recommendations for future growth.
    • Use data-driven insights to help clients optimize their use of our products and achieve measurable results.
    • Gather and share client feedback with internal teams to drive continuous product improvement and innovation.

WHAT WE NEED YOU TO BE:

  • Passionate - about helping our customers 
  • Tech savvy - know your way around Zoom, Google Docs/Sheets/Slides, CRM tools, and internet based SAAS tools.
  • An entrepreneurial thinker - drive better products through understanding customer problems
  • Collaborative - share work early and often, and provide constructive feedback to your peers as needed.
  • A problem solver - someone who possesses a highly tuned thought process that yields creative solutions to big challenges.
  • Someone who actually reads through the whole bullet list...

WHAT WE NEED YOU TO DEMONSTRATE:

  • Prior experience in the fitness industry specifically working with gyms, studios or YMCAs
  • Bachelor’s degree in Business, Communications, Marketing, or a related field (or equivalent experience).
  • Strong organizational skills, with the ability to manage multiple accounts and projects simultaneously.
  • Excellent interpersonal and communication skills, with a talent for building and maintaining relationships.
  • Customer-focused mindset with a passion for delivering high-quality service and support.
  • Problem-solving and critical thinking abilities, with a proactive and adaptable approach.
  • Ability to work collaboratively across teams and departments.

ABOUT WELLD HEALTH:

Founded in 2017, Welld Health is a small technology business seeking to change the way people receive their healthcare. Rather than visiting a doctor twice a year for 15 minutes, Welld’s innovative health record platform turns gyms, YMCAs, and other community-based organizations into healthcare providers.

 

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Technical Account Manager

data lovers apply now

We are seeking a motivated and detail-oriented Technical Account Manager to join our dynamic team. In this role, you will play a crucial part in ensuring the successful onboarding and ongoing support of our clients by providing technical expertise and guidance. You will work closely with customers to ensure data quality and accurate software configuration while delivering exceptional technical support. This is a full time position open to hybrid work or located in our office in Charlottesville, VA. 

WHAT WE NEED YOU TO DO:

  • Data Cleansing & Importing:
    • Collaborate with clients to clean, validate, and import data into our systems.
    • Ensure data accuracy and integrity during the import process.
    • Identify and resolve data discrepancies in collaboration with internal teams and customers.
  • Software Configuration:
    • Assist customers in setting up and configuring our software solution to meet their unique needs.
    • Provide guidance on best practices for software usage and customization.
    • Document configuration steps and provide clear instructions to clients.
  • Data Integrity:
    • Regularly monitor and audit data to ensure consistency and accuracy.
    • Identify and troubleshoot data-related issues, working proactively to prevent future problems.
    • Work with clients to understand their data needs and optimize system performance.
  • Technical Customer Support:
    • Act as the first point of contact for technical inquiries from clients, providing timely and effective support.
    • Troubleshoot and resolve software and data-related issues, escalating to higher-level support when necessary.
    • Conduct follow-ups to ensure customer issues are resolved to their satisfaction.
  • Client Engagement:
    • Build and maintain strong relationships with customers, understanding their business goals and technical needs.
    • Assist in the development of training materials and conduct training sessions to help clients maximize their use of our software.
    • Collect and document client feedback to improve product offerings and support processes.

WHAT WE NEED YOU TO BE:

  • Excel Lover - know your way around the sheets
  • Passionate - about helping our customers improve the health of their customers
  • Tech savvy - know your way around Zoom, Google Docs/Sheets/Slides, CRM tools, and internet based SAAS tools.
  • An entrepreneurial thinker - drive better products through understanding customer problems
  • Collaborative - share work early and often, and provide constructive feedback to your peers as needed.
  • A problem solver - someone who possesses a highly tuned thought process that yields creative solutions to big challenges.
  • Someone who actually reads through the whole bullet list.

WHAT WE NEED YOU TO DEMONSTRATE:

  • Bachelor’s degree in Computer Science, Information Technology, Business, or a related field (or equivalent work experience).
  • Basic understanding of data management concepts and familiarity with data cleansing techniques.
  • Excellent problem-solving and analytical skills.
  • Strong communication skills, with the ability to explain technical concepts to non-technical users.
  • Customer-focused attitude and a passion for providing exceptional service.
  • Ability to manage multiple tasks and prioritize effectively in a fast-paced environment.

WHAT WOULD make us extra excited:

  • Experience working with member management systems in the fitness space (Daxko Operations, ABC Fitness, Club Ready, etc)
  • Experience with data import tools or database management systems.
  • Familiarity with software troubleshooting and support processes.
  • Knowledge of SQL or other data query languages.
  • Exposure to software configuration or system administration tasks, either through academic projects or prior experience.
  • Exposure to CRM platforms or enterprise software solutions.

ABOUT WELLD HEALTH:

Founded in 2017, Welld Health is a small technology business seeking to change the way people receive their healthcare. Rather than visiting a doctor twice a year for 15 minutes, Welld’s innovative health record platform turns gyms, YMCAs, and other community-based organizations into healthcare providers.

 

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