Ensure claims are processed in accordance with payer regulations, protocols, medical authorizations, and departmental guidelines
Provide email support using the ticketing system to resolve customer issues
Utilize PowerBI and other reporting tools to analyze data to create action plans for resolving issues
Identify, analyze, and research trends in submitted claims to create resolutions
Facilitate regular meetings with customers to discuss any concerns or educational challenges
Assist customers with setting up and navigating programs or software associated with a product or service on an as-needed basis

Minimum 2 years of experience in account management, revenue cycle management (RCM), or healthcare billing, with a strong focus on third-party payer claims
Proficiency in CRM systems, preferably HubSpot CRM and billing software
Strong written and verbal communication skills, with a focus on business etiquette
Excellent follow-up, time management, and communication skills required
Project management experience preferred
Strong problem-solving and decision-making skills
Excellent verbal and written skills
Proficiency in MS Office Suite (Outlook, Word, Excel) required

Paradigm

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