Location: Memphis, TN | Position Type: Full-Time, In-Person
About Lifedoc Health
Lifedoc Health is more than just a clinic — we are a movement dedicated to empowering our community through accessible, patient-centered care, education, and groundbreaking research. We serve diverse populations with a focus on lasting wellness, not just treating symptoms. Come be part of something bigger!
Job Summary:
The Bilingual Revenue Cycle and Membership (BRCMS) plays a critical role in maximizing revenue by handling insurance claims, patient collections, payment posting, and accounts receivable follow-up. This position is responsible for improving cash flow and reducing aging accounts receivable, while ensuring compliance with all applicable healthcare regulations. The BRCMS will help to remove the economic barriers the underprivileged population faces when trying to treat their acute or chronic diseases. The role will oversee sales, retention, education and communication of the Vida Plus program.
Responsibilities
- Proactively contact patients and insurance companies to collect overdue medical balances and resolve unpaid claims.
- Follow up on commercial, HMO, PPO, Medicare, Medicaid, Vida Plus, and Vida Plus Premier claims until resolution.
- Review and verify insurance eligibility and benefits as necessary while resolving unpaid claims.
- Submit, monitor, and follow up on insurance claims to ensure timely reimbursement.
- Investigate and resolve denied, rejected, and underpaid claims.
- Prepare and submit claim reconsiderations, corrected claims, and formal appeals as needed.
- Track unpaid claims and communicate with insurance carriers and patients regarding outstanding balances.
- Monitor post-billing accounts and identify delinquent patient balances requiring follow-up.
- Contact patients and responsible parties to facilitate prompt payment of outstanding balances.
- Post patient and insurance payments (ERA/EOB) timely and accurately and reconcile payment discrepancies.
- Negotiate payment arrangements in accordance with organizational policies and document agreements accurately
- Promote and expand the Vida Plus program by engaging with businesses and negotiating contracts.
- Develop and implement strategies to increase program adoption and satisfaction.
- Manage and maintain relationships with current and potential Vida Plus clients
- Support the Vida Plus program by managing day-to-day operations and keeping up with the claims associated with Vida Plus
- Ensure the membership payments are processed daily and that the appropriate collection process is followed to prevent outstanding balances
- Update the EMR and post adjustments as needed
- Assist in any financial reporting, data entry, and reconciliation projects as needed.
Experience Requirements
- Minimum of 3 years of medical billing, collections, or revenue cycle experience
- Bilingual in (Spanish / English) and proficiency in reading, writing and speaking in both languages is required
- Proficiency in Microsoft Office, including Excel, Outlook, and Word
- Working knowledge of Medicare, Medicaid, commercial insurance plans, HMO/PPO products, and managed care reimbursement.
- Experience with medical claims processing, payment posting, insurance follow-up, and patient collections.
- Knowledge of CPT, ICD-10-CM, and HCPCS coding concepts.
- Strong understanding of Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA)
Education Requirements
- High school diploma or GED required ; associates degree or equivalent technical training preferred
Benefits
- Health insurance
- Vision insurance
- Dental insurance
- 401(k) matching
- Employee assistance program
- Health savings account
- Referral program
- Paid time off
For more information, contact Lenzi at [email protected].