Implementation Consultant (III) RCM

Ensora Health is the leading provider of software and services for mental and behavioral health therapists, trusted by over 200,000 individual providers and more than 28,000 practices.  Our unmatched expertise, partnership, and breadth of products allow us to fine-tune solutions that meet the specific needs of everyone from solo practitioners to larger practices. With AI-enabled solutions that span practice management to electronic medical records and e-prescribing to billing, we help eliminate administrative complexity and create harmony between therapists, their clients, and the whole healthcare community.

Job Description

PRIMARY RESPONSIBILITIES OF THIS POSITION

• The Implementation Consultant (III) RCM will serve as the subject matter expert on all aspects of assigned RCM projects. This role will require:

• Assist customers onboarding to Ensora Health by walking them through the necessary items needed to outfit the customer with RCM services

• Assist customers with ERA and EDI enrollments in the implementation phase and act as the Ensora Health sponsor for customers in implementation

• Complete configuration of billing rules and payer set-up for assigned customer accounts during the implementation phase

• Review claim submissions for test/initial claims for assigned accounts and work with RCM team to correct and process denied or rejected claims

• Answer advanced support questions regarding claims management, payer networks, and practice management software

• Lead & drive given Implementation project plan –provide feedback on improvements that can be made based off of customer interaction and experience

• Lead & drive customer implementation calls, walking them through the project plan, and following up with expectations

• Manage multiple implementation projects simultaneously

• Collaborate closely with PMS implementation teams and account management staff to ensure seamless experiences for customers as they transition into new service levels and transition out of the implementation phase

• Track customer progress through implementation, and carefully record and report both internally and externally, using Monday.com, Salesforce, and Outlook

• Report customer status while in implementation – effectively cascading any issues and opportunities to leadership

PREFERRED EXPERIENCE

• Bachelor’s degree

• Deep understanding of behavioral health billing and claim structure

• Vast knowledge of Revenue Cycle Management

• The ability to analyze and make actionable decisions from data

• Possess analytical and technical skills to improve time to value during implementation phases

QUALIFICATIONS

• Excellence in both verbal and written communication Ability to listen well and empathize with others

• Strong organizational skills and attention to detail Demonstrated problem solving skills with excellence in critical thinking and analytical experience

• 2+ years of experience in hands-on medical billing, added plus for behavioral health billing experience

• 3+ years customer service/account management experience Experience in medical billing denial management and claim structure

• Prior Project Management experience

• Expert experience with Microsoft Office Suite

• Familiarity with project management tools (i.e. Salesforce)

• Proficient computer skills (typing, data entry, general computer and browser usage)

• Ability to multi-task and prioritize work amongst competing tasks

RESPONSIBILITIES CONTINUED:

Understand and navigate Ensora Health products to successfully onboard customers to RCM Monitor trends in key performance indicators of customer implementation success and execute on strategies to improve performance. Utilize strategies to reduce customer churn Cross train with related RCM products and assist teammates as needed. Manage and follow-up on tasks in a timely manner. Assist with projects as necessary to improve Ensora Health's’ procedures and processes Other duties as assigned.