Implementation & Price Table Specialist at Brightseed

Peachtree Corners, Georgia, United States

Brightseed Logo
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

Brightree Platform
SmartSheet
Salesforce
Insurance Billing
DME Coding
Price Table Management
RCM
Billing Procedures
AR Management

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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