ClinicMind provides a complete platform for software and services, allowing practice owners to effectively manage the full cycle of patient care. We are looking for a Sales Manager responsible for driving sales growth and market penetration for the entire ClinicMind platform. The ideal candidate has solid experience as a sales team manager selling multi-product platform solutions in the healthcare industry,  preferably in the Chiropractic, Physical Therapy, and Mental Health domains.

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Key Responsibilities:

1. Develop and continuously improve a software Platform Sales Process for 

   1. implementing a Land-and-Expand Go-to-Market strategy for selling multiple software products and software-enabled services

   2. management of a compounding and highly profitable sales pipeline 

   3. coordination with customer support, finance, and product development teams to ensure timely onboarding, customer invoicing, and alignment with product offerings

2. Build a Sales Team, including

   1. Hiring pipeline for Sales Representative and Sales Development Representative 

   2. Monthly/Quarterly performance reviews

   3. Ongoing training

3. Leverage SalesForce and Hubspot for 

   1. Data-driven sales process management 

   2. Data-driven individual team member performance improvement.

   3. KPI implementation and reporting, forecasting, and budgeting,   

4. Analyze market trends and competitor activities to 

   1. refine sales approaches

   2. identify new market opportunities 

   3. expand the company’s presence in the HealthTech market. 

5. Participate in industry events, conferences, and networking activities to promote the ClinicMind platform.

6. Stay updated on healthcare regulations and ensure all sales activities comply with industry standards and company policies.

Qualifications:

1. 5+ years of experience in software platform sales management, preferably in the healthcare and SaaS industries.

2. Experience in navigating;

   1. SalesForce

   2. Hubspot and/or High Level

3. Proven track record of meeting or exceeding sales targets and driving revenue growth.

4. Strong leadership and team management skills, with experience in building and motivating high-performing sales teams.

5. Deep understanding of the HealthTech market, particularly with medical practices and clinics.

6. Ability to analyze data, identify trends, and make data-driven decisions

7. Bachelor’s degree in Business, Marketing, Healthcare Management, or a related field.

MUST HAVE:

1. High comfort level working on Eastern Time Zone/US Shift

2. Good internet access at home at least 25 MBPS

3. Mobile Hotspot

4. Laptop/Desktop of at least 16 GB

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1. Maximize insurance reimbursement for healthcare practice owners
2. Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions
3. Interact with the US-based insurance carriers to 
4. follow-up on unpaid claims, delayed processing, and underpayment
5. plan and execute medical insurance claim denial appeal process  
6. Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims

1. Minimum of 6 months experience in US-based AR follow-up and charge and payment posting
2. Familiar with US medical insurance industry and insurance claims processing cycle
3. Knowledge of ICD-10, CPT, and HCPC 
4. Understand CMS-1500 and UB-04 claim formats
5. Experience in Vericle Software is a must.
6. Excellent listening, communication, and problem-solving skills
7. Self-motivated and able to work autonomously

1. High comfort level working on Eastern Time Zone/US Shift
2. Good internet access at home
3. Mobile Hotspot
4. Laptop/Desktop of at least 8 GB

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ClinicMind is a Healthcare IT and Revenue Cycle Management (RCM) service company. We are looking for a full-time RCM Data Entry Associate, who enters billing process data, Demographics, Charge Entry and EOB / Cash Posting, Denial analysis and documentation.  

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RESPONSIBILITIES

1. Maximize insurance reimbursement for healthcare practice owners
2. Analyze and discover root causes for medical insurance claim denial, underpayment, or delay
3. Interact with the US-based insurance carriers to
   • follow-up on unpaid claims, delayed processing, and underpayment
   • plan and execute medical insurance claim denial appeal process  
4. Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims
5. Post charges and payments

QUALIFICATIONS

1. Minimum of 1-year experience in US-based data entry and payment posting
2. Familiar with US medical insurance industry and insurance claims processing cycle
3. Knowledge of ICD-10, CPT, and HCPC 
4. Understand CMS-1500 and UB-04 claim formats
5. Experience with PIP claims is an added advantage
6. Familiarity with chiropractic, physical therapy, and mental/behavioral health specialties  is an added advantage 
7. Experience with Vericle software is an added advantage 
8. Excellent listening, communication, and problem-solving skills
9. Self-motivated and able to work autonomously

MUST HAVE:

1. High comfort level working on Eastern Time Zone/US Shift
2. Good internet access at home
3. Mobile Hotspot
4. Laptop/Desktop of at least 8 GB

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ClinicMind is a leading provider of comprehensive healthcare practice management software and service platform for a full patient care cycle. We are seeking a highly experienced and results-driven Senior Revenue Cycle Management (RCM) Specialist to lead and manage our RCM teams. The ideal candidate will excel in overseeing the resolution of insurance claim backlogs, optimizing processes, and driving key performance indicators (KPIs) to ensure the highest standards of operational excellence. This role is integral to achieving a seamless, efficient revenue cycle and ensuring our clients’ financial health.

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Key Responsibilities:

1. • Team Leadership & Management

     • Lead, mentor, and manage the teams responsible for addressing RCM insurance claim backlogs, including claims specialists and billing analysts.

     • Foster a culture of accountability, efficiency, and continuous improvement.

     • Conduct regular performance evaluations and implement training initiatives to enhance team skills.

   • Operational Excellence in Claims Management

     • Drive the resolution of Active Failed claims to zero daily by implementing effective prioritization and workflows.

     • Ensure Total Failed claims remain at minimum levels, leveraging analytics and proactive interventions.

     • Oversee the resolution of aged claims, maintaining Accounts Receivable >120 days at or below 5%.

   • Process Improvement & Quality Assurance

     • Identify root causes for claim errors and develop corrective actions to maintain claim error rates at below 1%.

     • Monitor and improve processes to achieve and sustain a Net Collection Rate (NCR) of 97% or higher.

     • Develop and implement policies, procedures, and best practices for claims processing and denial management.

   • Data-Driven Decision Making

     • Utilize RCM software and data analytics tools to track and report on KPIs, trends, and team performance.

     • Collaborate with cross-functional teams to identify areas for improvement and execute data-informed strategies.

   • Stakeholder Engagement

     • Serve as a primary point of contact for escalations related to claim processing and insurance reimbursements.

     • Communicate regularly with internal and external stakeholders to ensure alignment on objectives and expectations.

   Qualifications:

   • Bachelor’s degree in healthcare administration, business administration, or a related field. Master’s degree preferred.

   • Minimum of 8 years of experience in revenue cycle management, with a proven track record in managing insurance claims, backlogs, and denials.

   • Extensive knowledge of healthcare billing, coding, and reimbursement processes.

   • Strong leadership and team management skills, with experience managing large, diverse teams.

   • Proficiency in RCM software, data analytics tools, and advanced Excel functions.

   • Exceptional problem-solving skills and attention to detail.

   • Outstanding communication and organizational skills, with the ability to manage multiple priorities effectively.

   Key Performance Indicators (KPIs):

   • Active Failed claims resolved daily (target: 0)

   • Total Failed claims kept at a minimum

   • A/R >120 days maintained at or below 5%

   • Claim error rates maintained below 1%

   • Net Collection Rate (NCR) sustained at 97% or higher

   Position Requirements

   • Must have a stable internet connection minimum of 5 MBPS

   • Must have a mobile data plan as a backup

   • Must be in a quiet environment

   • Must be comfortable working the US business hours

   • Must own a PC with at least 16 GB of memory

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ClinicMind is a leading provider of comprehensive healthcare practice management software and service platform for a full patient care cycle. We are seeking an experienced and analytical Senior Quality Assurance Manager to lead our Quality Assurance (QA) teams in monitoring, evaluating, and improving the performance of our Revenue Cycle Management (RCM) operations. This role is focused on identifying and addressing errors, analyzing root causes, recommending process improvements, and supporting personnel optimization to ensure operational excellence. The ideal candidate will combine a deep understanding of RCM processes with an ability to drive high-quality deliverables and measurable improvements.

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Key Responsibilities:

1. • • Utilize analytics tools and QA software to track and report key quality metrics.

     • Identify trends in errors and develop proactive strategies to prevent them.

     • Establish a dashboard for real-time monitoring of QA performance and share insights with leadership.

       Quality Assurance Operations

       • Oversee QA teams responsible for identifying errors made by RCM teams during insurance claim processing, follow-up, and resolution.

       • Develop and enforce QA standards and evaluation metrics to ensure consistent, accurate, and thorough discovery of errors.

       • Regularly audit RCM processes and outputs, providing detailed reports on findings to leadership.

       Root Cause Analysis and Process Improvement

       • Conduct in-depth root cause analyses for identified errors to uncover systemic issues or gaps in training, technology, or processes.

       • Collaborate with stakeholders to propose updates to Standard Operating Procedures (SOPs) to eliminate recurring errors and improve workflow efficiency.

       • Monitor the effectiveness of implemented changes, ensuring sustainable improvements over time.

       Recommendations to Leadership

       • Provide detailed recommendations to RCM managers regarding personnel performance, identifying strengths and areas for development among team members engaged in claims follow-up.

       • Partner with HR and training teams to address identified skill gaps through targeted training programs.

       • Facilitate regular feedback loops between QA and RCM teams to promote accountability and knowledge-sharing.

       Team Leadership & Development

       • Manage and mentor QA staff, fostering a culture of accuracy, objectivity, and continuous improvement.

       • Conduct regular team performance reviews and provide guidance to ensure high-quality deliverables.

       • Develop and deliver training sessions on quality standards and evolving RCM best practices.

       Data-Driven Decision Making

     Key Performance Indicators (KPIs):

     1. Error Detection:

        • Discovery of 100% of critical errors and 95% of non-critical errors across all RCM processes.

     2. Root Cause Analysis:

        • Completion of comprehensive root cause analyses for 100% of identified errors within five business days.

     3. Process Improvement Implementation:

        • SOP updates proposed and implemented for 100% of recurring errors with measurable impact.

     4. Team Recommendations:

        • Actionable personnel recommendations provided to managers within five business days of review completion.

     5. Error Recurrence Reduction:

        • Achieve a 50% reduction in recurring errors within the first 90 days of process improvement implementation.

     6. Claim Accuracy Rate:

        • Maintain a 99% claim accuracy rate across all teams audited.

     7. Timeliness:

        • QA audits completed and feedback provided to RCM teams within 48 hours of claim processing.

     Qualifications:

     • Bachelor’s degree in healthcare administration, business administration, or a related field. Master’s degree preferred.

     • Minimum of 8 years of experience in RCM or healthcare quality assurance roles, with proven leadership in QA processes.

     • Expertise in healthcare billing, coding, reimbursement processes, and claim management workflows.

     • Strong understanding of QA methodologies and process improvement techniques, such as Six Sigma or Lean principles.

     • Proficiency in QA software, RCM systems, and data analytics tools.

     • Exceptional analytical, communication, and problem-solving skills.

     • Proven ability to manage and mentor teams effectively.

      Position Requirements

     • Must have stable internet connection minimum of 5 MBPS

     • Must have a mobile data plan as a backup

     • Must be in a quiet environment

     • Must be comfortable working the US business hours

     • Must own a PC with at least 16 GB of memo

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We are seeking a highly skilled and analytical Manager of Complex Issue Resolution to lead a specialized team dedicated to addressing escalated and intricate revenue cycle management (RCM) challenges that standard teams are unable to resolve. This role is pivotal in ensuring the seamless operation of our revenue cycle by effectively managing complex client issues, implementing process improvements, and enhancing overall client satisfaction.

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Key Responsibilities:

• Team Leadership & Management:

  • Lead and mentor a team of specialists focused on resolving complex RCM issues escalated from standard teams.

  • Allocate resources efficiently to ensure timely and effective resolution of escalated cases.

  • Conduct regular performance evaluations and provide ongoing training to enhance team capabilities.

• Complex Issue Resolution:

  • Oversee the investigation and resolution of complex billing, coding, and reimbursement issues.

  • Collaborate with cross-functional teams to identify root causes and implement corrective actions.

  • Serve as the primary point of contact for clients regarding escalated RCM concerns, ensuring clear communication and resolution.

• Process Improvement & Compliance:

  • Analyze patterns in escalated issues to identify systemic problems and areas for process enhancement.

  • Develop and update standard operating procedures (SOPs) to prevent recurrence of complex issues.

  • Ensure all resolutions comply with industry regulations and organizational policies.

• Stakeholder Collaboration:

  • Work closely with standard RCM teams to provide guidance on complex cases and prevent future escalations.

  • Communicate effectively with clients to manage expectations and provide status updates on issue resolution.

  • Prepare and present reports to senior management on the status of escalated issues and team performance.

Key Performance Indicators (KPIs) and Targets:

1. Issue Resolution Time:

   • Target: Resolve 95% of escalated issues within 10 business days.

2. First Contact Resolution Rate:

   • Target: Achieve a 90% resolution rate on the first client contact for escalated issues.

3. Client Satisfaction Score:

   • Target: Maintain a client satisfaction score of 4.5 out of 5 or higher for issue resolution.

4. Repeat Escalation Rate:

   • Target: Limit repeat escalations to less than 5% of total cases.

5. Process Improvement Implementation:

   • Target: Implement corrective actions for 100% of identified systemic issues within 30 days.

6. Compliance Adherence Rate:

   • Target: Ensure 100% compliance with industry regulations and organizational policies in issue resolution.

Qualifications:

• Bachelor’s degree in Healthcare Administration, Business, or a related field; Master’s degree preferred.

• Minimum of 5 years of experience in revenue cycle management, with at least 2 years in a supervisory role handling complex issues.

• In-depth knowledge of healthcare billing, coding, and reimbursement processes.

• Strong analytical and problem-solving skills with a track record of implementing effective solutions.

• Excellent communication and interpersonal skills, with the ability to manage client relationships effectively.

• Proficiency in RCM software and data analysis tools.

• Demonstrated ability to lead and develop high-performing teams.

Position Requirements

• Must have stable internet connection minimum of 5 MBPS

• Must have a mobile data plan as a backup

• Must be in a quiet environment

• Must be comfortable working the US business hours

• Must own a PC with at least 16 GB of memory

Why Join Us? We are a forward-thinking organization committed to excellence in revenue cycle management. In this role, you will have the opportunity to lead a critical team, tackle complex challenges, and drive significant improvements in our operations. If you are passionate about problem-solving and enhancing client satisfaction, we encourage you to apply.

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