Careers

Company Overview: Knack RCM is an industry leader in providing comprehensive compliance, education, and billing services to clients nationwide, with a specialized focus on Optometry and Ophthalmology practices. Our mission is to streamline the revenue cycle management (RCM) process for our clients while ensuring accuracy, efficiency, and optimal reimbursement.

Job Overview: We are seeking a dedicated and detail-oriented Client Success Specialist to join our team. The ideal candidate will have at least two years of experience in medical billing for Optometry or Ophthalmology, including experience with routine vision billing, insurance claims filing, and working with optical elements. Certification in CPOC is preferred but not required.

Key Responsibilities:

• Oversee and manage client medical and routine vision claims, ensuring compliance with CMS standards and optical billing regulations.
• Ensure timely and accurate processing of all client claims.
• Utilize the correct coding (e.g., ICD-10, CPT, HCPCS) to facilitate appropriate reimbursement.
• Collaborate with clients to resolve complex billing issues and discrepancies.
• Review insurance EOBs and work with clients to address claim denials or underpayments.
• Work closely with clients to educate and guide them on best billing practices for Optometry and Ophthalmology claims.
• Monitor the claims lifecycle, from submission to resolution, ensuring timely reimbursement for services rendered

Qualifications:

• Strong knowledge of CPT, ICD-10, and HCPCS codes as they relate to Optometry, Ophthalmology, and routine vision services.
• Familiarity with Vision Plan Claims filing and optical-related billing.
• Ability to interpret and apply insurance company Explanation of Benefits (EOBs) effectively.
• Detail-oriented, analytical, and highly organized, with the ability to manage multiple  priorities.
• Problem-solving skills to identify, research, and resolve billing issues independently.
• Strong written and verbal communication skills, with a focus on providing excellent customer service.
• Ability to quickly adapt to new software programs and systems.
• Excellent interpersonal skills and the ability to build strong relationships with clients.

Ideal Candidate:

• Self-motivated and able to work independently with minimal supervision.
• Experience with optometric and ophthalmic billing; certification is a plus but not required.
• Familiarity with optometric practice management systems, including Compulink, Officemate, Revolution, Crystal, EPM, MVE, Uprise, Practice Director, EyeCloud Pro, and MaximEyes.
• Experience with clearinghouses such as Trizetto/Gateway, Apex, RPA, Zirmed/Waystar, Vision Web, Inovalon, Availity, and Eyefinity.
• Ability to quickly navigate the internet and learn new systems and technologies.

Benefits:

• Competitive salary and performance-based bonus
• Comprehensive health insurance plan
• 401 (K)
• Paid time off and holidays
• Professional development opportunities

Equal Opportunity Employer:

Knack RCM is an equal opportunity employer and is committed to fostering a diverse and
inclusive work environment. We encourage candidates from all backgrounds to apply.

Job Overview

As an Account Manager at Knack RCM, you will play a critical role in ensuring the seamless operation of revenue cycle management for our clients in the healthcare industry. You will be responsible for maintaining strong relationships with clients, overseeing the performance of RCM processes, managing accounts, and ensuring that billing and collections are performed accurately and efficiently. The ideal candidate will have a background in healthcare revenue cycle management, customer service, and problem-solving skills.

Key Responsibilities

1. Client Relationship Management:
   • Serve as the main point of contact for assigned client accounts, building and maintaining strong, long-term relationships.
   • Communicate regularly with clients to understand their needs, concerns, and goals within their RCM processes.
   • Act as a trusted advisor to clients, offering insight into how our services can support their revenue cycle operations.
   • Address client inquiries, escalate issues when necessary, and ensure client satisfaction with RCM services.
2. RCM Process Oversight:
   • Monitor and oversee the execution of RCM services including coding, billing, collections, and payment posting, ensuring compliance with healthcare regulations (HIPAA, CMS guidelines).
   • Collaborate with internal teams (coding, billing, collections) to resolve issues and improve processes.
   • Ensure that client accounts are managed efficiently and that all revenue is collected in a timely manner.
3. Performance Monitoring and Reporting:
   • Track and analyze key performance indicators (KPIs) related to client accounts, including billing accuracy, claim rejection rates, payment posting, and collections.
   • Prepare and deliver detailed performance reports to clients, offering insights and recommendations to optimize their revenue cycle. o Identify any areas of concern in client accounts and work proactively to implement corrective actions.
4. Client Onboarding & Training:
   • Assist new clients with onboarding, explaining RCM services, timelines, and expectations.
   • Provide ongoing training to clients as needed, ensuring they understand the RCM processes and how they can optimize their revenue cycle operations.
5. Problem Solving & Issue Resolution:
   • Address and resolve any operational or billing issues related to client accounts.
   • Work with internal teams to troubleshoot and rectify errors, such as claims denials or payment delays, to ensure a smooth client experience.
6. Collaboration & Cross-functional Support:
   • Collaborate with sales, marketing, and operational teams to ensure client expectations are met and that service delivery is aligned with contractual agreements.
   • Ensure that contract terms, including SLAs and KPIs, are met or exceeded.
7. Continuous Improvement:
   • Proactively suggest improvements to internal processes and client workflows, helping optimize the overall RCM process.
   • Stay informed about the latest developments and trends in the healthcare industry and revenue cycle management to provide value to clients.

Qualifications

• Education:
  • Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field. Relevant work experience may substitute for formal education.
• Experience:
  • 3+ years of experience in revenue cycle management, medical billing, or account management in a healthcare setting.
  • Experience working with RCM software, healthcare billing systems, and EHR/EMR platforms.
  • Proven experience in managing client relationships and handling complex client concerns.
• Skills:
  • Strong understanding of healthcare regulations and billing requirements (HIPAA, CMS, payer-specific rules).
  • Excellent communication and interpersonal skills, with the ability to build and maintain client relationships.
  • Detail-oriented with strong organizational and time-management skills.
  • Ability to analyze and interpret financial reports and performance data.
  • Problem-solving skills, with a focus on resolving issues in a timely and effective manner.
• Preferred:
  • Experience working with diverse payer systems and insurance contracts.
  • Familiarity with ICD-10, CPT codes, and medical coding standards.
  • Knowledge of ICD-10-CM, HCPCS, or other relevant coding classifications.

Benefits

• Competitive salary and performance-based bonus
• Comprehensive health insurance plan
• 401 (K)
• Paid time off and holidays
• Professional development opportunities

Equal Opportunity Employer:

Knack RCM is an equal opportunity employer and is committed to fostering a diverse and inclusive work environment. We encourage candidates from all backgrounds to apply.