Implementation & Price Table Specialist at Brightseed

Peachtree Corners, Georgia, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, DME, Medical SoftwareIndustries

Requirements

High School degree required, college coursework a plus
Minimum of 1-2 years of healthcare billing or customer service experience
Minimum of 1 year in a customer support environment
Computer literate and proficient with Microsoft Office Suite (Outlook, Word, and Excel)
Knowledgeable in federal and state laws and requirements relating to healthcare management and billing for DME/HME
Excellent attention to detail and ability to investigate and troubleshoot price table issues, finding workarounds as needed
Strong ethics and a high level of personal and professional integrity
Exceptional organizational skills with the ability to multitask within multiple client databases
Quick learner, pleasant, and dedicated to providing a positive customer experience
Ability to work in a fast-paced, challenging environment with minimal supervision
Strong interpersonal, communication, and customer service skills with the ability to resolve challenging situations
Highly motivated self-starter who is detailed-oriented and understands the Brightree Platform and the pricing features
Industry experience with insurance billing and DME inventory products/coding is essential

Responsibilities

Analyse and process price table updates and requests for RCM customers
Ensure accuracy and integrity of existing price tables
Create new price table requests for new RCM customer contracts
Maintain and update price tables for Brightree RCM customers
Manage price table requests through SmartSheet & Salesforce
Assist the RCM team with pricing and billing questions
Communicate with stakeholders and RCM customers on price table requests/updates
Provide best practice direction on common price table issues
Prepare and submit client reports as needed
Research insurance billing requirements and fee schedules
Perform price table analyses as needed
Understand general rules, guidelines, and methods for payor payments
Follow policies, procedures, and systems for quality assurance as directed by Medicare, Medicaid, and private insurance
Ensure adherence to objectives, operating policies, procedures, and strategic action plans
Update Department SOPs, ensuring compliance, best practices, proper format, and appropriate links before publishing
Lead intake of customer concerns and provide recommendations to the manager for resolution
Manage escalations and act as the Brightree software SME for Price Tables, communicating directly with customer executives, directors, and management staff on price table requests/updates
Serve as an SME/Mentor to teammates, assisting with education and training
Receive and process price table requests regarding creation, updating, and research
Analyse, identify, and help resolve pricing and software issues related to correct billing procedures
Carry out the physical pricing updates and manage project completion

Skills

Key technologies and capabilities for this role

Brightree PlatformSmartSheetSalesforceInsurance BillingDME CodingPrice Table ManagementRCMBilling ProceduresAR Management

Questions & Answers

Common questions about this position

What is the salary for this Implementation & Price Table Specialist position?

This information is not specified in the job description.

Is this a remote position, or what is the location requirement?

This information is not specified in the job description.

What key skills are required for this role?

The role requires understanding of the Brightree Platform and pricing features, industry experience with insurance billing and DME inventory products/coding, detailed-oriented mindset, effective verbal and written communication, and troubleshooting skills for pricing scenarios.

What is the company culture like at Brightree?

Brightree emphasizes innovation in cloud-based patient management software, focuses on people to positively impact customers' businesses and patients' lives, and values team collaboration.

What makes a strong candidate for this position?

A strong candidate is a highly motivated self-starter who is detailed-oriented, has industry experience in insurance billing and DME, understands the Brightree Platform, communicates effectively, and acts as a team player and SME.

Brightseed

AI platform for discovering health-boosting compounds

About Brightseed

Brightseed discovers beneficial compounds in nature that can enhance human health using artificial intelligence. Their Forager® platform identifies bioactive compounds—small molecules from plants and microbes that positively affect biological functions. They also offer Brightseed™ Bio Gut Fiber, which contains bioactives that support gut health. By partnering with companies, Brightseed provides insights into bioactives and their health benefits, aiming to unlock the potential of these compounds.

San Francisco, CaliforniaHeadquarters

2017Year Founded

$123.8MTotal Funding

GRANTCompany Stage

AI & Machine Learning, HealthcareIndustries

51-200Employees

Benefits

Hybrid work flexibility

Medical, dental, & vision

Unlimited PTO

Life insurance

EAP

401(k) plan

Mental health platform

Employee discounts

Cell phone & commuter costs

Parental leave

Risks

Increased competition from established brands like Centrum in the bioactive market.

Over-reliance on partnerships like Manitoba Harvest could limit market reach.

Regulatory scrutiny poses challenges as Brightseed expands in the health and wellness sector.

Differentiation

Brightseed uses AI to discover bioactives, accelerating discovery from years to months.

Forager® A.I. maps bioactives to health outcomes with unprecedented accuracy and speed.

Brightseed's Bio Gut Fiber is made from upcycled hemp hulls, appealing to eco-conscious consumers.

Upsides

Growing consumer interest in personalized nutrition boosts demand for Brightseed's bioactive products.

Rising gut health awareness increases demand for Brightseed's gut health-focused bioactives.

Regulatory support for bioactives in supplements facilitates Brightseed's market expansion.

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Implementation & Price Table Specialist at Brightseed

Requirements

Responsibilities

Skills

Questions & Answers

Brightseed

About Brightseed

Benefits

Hybrid work flexibility

Medical, dental, & vision

Unlimited PTO

Life insurance

EAP

401(k) plan

Mental health platform

Employee discounts

Cell phone & commuter costs

Parental leave

Risks

Increased competition from established brands like Centrum in the bioactive market.

Over-reliance on partnerships like Manitoba Harvest could limit market reach.

Regulatory scrutiny poses challenges as Brightseed expands in the health and wellness sector.

Differentiation

Brightseed uses AI to discover bioactives, accelerating discovery from years to months.

Forager® A.I. maps bioactives to health outcomes with unprecedented accuracy and speed.

Brightseed's Bio Gut Fiber is made from upcycled hemp hulls, appealing to eco-conscious consumers.

Upsides

Growing consumer interest in personalized nutrition boosts demand for Brightseed's bioactive products.

Rising gut health awareness increases demand for Brightseed's gut health-focused bioactives.

Regulatory support for bioactives in supplements facilitates Brightseed's market expansion.

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