RCM Customer Success Enabler - Appeals, Coding & Payer Relations (US Healthcare)

Qualifications Required:

• Hold a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential

• Strong proficiency in Microsoft Excel, including data analysis, pivot tables, and formula-based reporting

• Familiarity with Electronic Health Record (EHR) and RCM systems such as Modmed, Advanced MD, EZ Derm, Epic, eClinicalWorks, or Athenahealth

• Proficiency in analyzing reimbursement data, denial trends, and contract performance

• Bachelor's degree in healthcare administration, Business, or a related field preferred

• Working knowledge of portals (e.g., Availity, Change Healthcare, Trizetto)

• Familiarity with Provider Enrollments for Electronic Data Interchange (EDI) and Electronic Remittance Advice (ERA)

• Proficiency in Excel and Business Intelligence (BI) tools like Tableau and Power BI Your success in this role will be measured by client satisfaction and retention rates, denial reduction, appeal success metrics, and revenue improvement resulting from contract optimization. As a Customer Success and Relationship Manager at Master Billing LLC, a specialized dermatology billing company, your primary responsibility will be to ensure excellent service delivery and satisfaction for clients. You will act as the main point of contact, conducting regular reviews of revenue cycle metrics to provide data-driven recommendations and maintain strong, long-term relationships with clients. Collaboration with internal teams to customize Revenue Cycle Management (RCM) strategies to meet client needs will also be a key aspect of your role. Key Responsibilities:

• Identify denial trends and implement mitigation strategies

• Coordinate with various teams to gather documentation for appeals and denial management

• Monitor appeal outcomes to ensure timely and compliant submissions

• Review claims for accurate coding using ICD-10, CPT, and HCPCS codes

• Work with coding specialists and client staff to address documentation issues

• Provide coding guidance and support during appeals and audits

• Analyze contract performance, fee schedules, and reimbursement trends

• Identify and implement workflow enhancements to reduce denials and improve collections

• Develop Standard Operating Procedures (SOPs), training materials, and best practices for clients and internal teams

• Generate Key Performance Indicator (KPI) reports and client engagement using RCM and MS Excel

• Support the onboarding and training of new clients or staff

Qualifications Required:

• Hold a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential
• Strong proficiency in Microsoft Excel, including data analysis, pivot tables, and formula-based reporting
• Familiarity with Electronic Health Record (EHR) and RCM systems such as Modmed, Advanced MD, EZ Derm, Epic, eClinicalWorks, or Athenahealth
• Proficiency in analyzing reimbursement data, denial trends, and contract performance
• Bachelor's degree in healthcare administration, Business, or a related field preferred
• Working knowledge of portals (e.g., Availity, Change Healthcare, Trizetto)
• Familiarity with Provider Enrollments for Electronic Data Interchange (EDI) and Electronic Remittance Advice (ERA)
• Proficiency in Excel and Business Intelligence (BI) tools like Tableau and Power BI Your success in this role will be measured by client satisfaction and retention rates, denial reduction, appeal success metrics, and revenue improvement resulting from contract optimization.