[Hiring] Medical Coding Support Manager @Creyos

Medical Coding Support Manager

Who we are:

Creyos (formerly Cambridge Brain Sciences) is a leading growth-stage B2B SaaS HealthTech company. Our proprietary brain health tools, including digital cognitive assessments and mental health questionnaires, are used by healthcare practitioners treating mental health conditions, brain injuries, aging, and other patient populations throughout the world, as well as by leading researchers. To learn more about our organization, please visit www.creyos.com. 

You will be part of a team that includes not just your typical SaaS business functions (Sales, Marketing, Customer Success), but also engineers, psychologists, business leaders, and even a world-renowned neuroscientist. We are proud to say that you will be surrounded by some of the smartest, enthusiastic, hard working and dedicated people that you’ll ever meet (at least, that we’ve ever met!). 

Who we are looking for: 

At Creyos, we know that solving big challenges requires unrelenting resilience. We don’t give up in achieving our goals. People who succeed at Creyos have a sense of urgency, a strong work ethic, natural curiosity, strong internal drive, and enthusiasm about growing a company… as well as a sense of humor. If this all sounds good to you, we invite you to join us!

Please note that this is a remote opportunity based in the United States. 

What you will be doing:

Using Creyos, healthcare practitioners in the United States may receive reimbursement for the administration and interpretation of cognitive testing from payors. We are looking for an experienced and certified Medical Coding Support Manager to support our internal teams as well as our customers regarding medical documentation, coding, billing, reimbursement and more! 

As a Medical Coding Support Manager at Creyos, you will: 

• Act as the Subject Matter Expert regarding medical documentation, coding, claim review, claim submission, billing and reimbursement by staying up to date with relevant legislation and guidelines. 
• ​​Ensure that the company remains compliant with billing and reimbursement standards and proactively advise on adjustments to processes in order to meet evolving regulatory requirements.
• Collaborate closely with our Customer Success and Sales teams to assess and collect physician coding and clinical documentation needs for correct code assignment and reimbursement.
• Partner with Marketing to craft enablement resources and documentation materials (both internal and external facing) to ensure that our teams remain well-informed regarding the evolving reimbursement landscape. For example, develop a comprehensive database encompassing insurance plans across various regions that have experienced denials, while also analyzing the underlying causes for claim denials issued by payors.
• Collaborate with Customer Success Managers to ensure customers understand best practices for: 
• Preparing and submitting claims to various insurance companies and other third-party payers;
• Resolving insurance claims, including appeals;
• Answering patient or insurance coding inquiries;
• Collecting and managing patient account payments and ultimately;
• Ensuring reimbursement for services provided.
• Administer training sessions for our internal revenue teams, equipping them with the necessary skills and knowledge to engage with customers regarding reimbursement matters. Your objective is to provide guidance to empower them in their roles, ultimately enhancing their ability to serve our customers. Some examples of internal training sessions might include: 
• The healthcare and reimbursement landscape and how to talk about it confidently in customer calls. 
• What questions to ask customers in the sales and onboarding phases of their journey so that we get relevant and timely information about their reimbursement processes and payers.  
• How to navigate customer inquiries related to reimbursement and what follow-up information is necessary to deliver accurate guidance.
• Collaborate with other internal stakeholders such as Product and Marketing to continuously improve the Creyos Health product. 
• Perform other duties as assigned. 

The skills and experience we are looking for:

• 5+ years of experience as Medical Coder, Medical Billing Specialist, Reimbursement Specialist or equivalent role. 
• Certified Billing and Coding Specialist (CBCS), AHIMA or AAPC Coder Certification is required. 
• Experience working with physician groups in behavioral health, mental health, neurology, or primary care. 
• Extensive knowledge of medical coding including CPT and ICD-10.
• Strong working knowledge of medical insurance/medical terminology; insurance cards and major medical benefits; insurance rules and contracts.
• Strong collaboration skills, attention to detail and excellent communication skills.
• Ability to work independently and with a sense or urgency. 
• Desire to be part of building something that is changing and improving patient care.

Additional information:

Please note that in accordance with company policy, any successful candidate will be required to demonstrate proof of full vaccination against COVID-19. 

Creyos is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, sexual orientation, gender identity, and disability, or another legally protected status. We are committed to providing employment accommodation in accordance with the Ontario Human Rights Code and the Accessibility for Ontarians with Disabilities Act, 2005 (AODA). Creyos will provide accommodations to job applicants with disabilities throughout the recruitment process. If you require accommodation, please notify our Talent Acquisition Manager directly and we will work with you to meet your needs.

About the company

Built for healthcare practitioners, Creyos is an online brain health assessment service that takes seconds to set up, is engaging and enjoyable for patients, and produces a reliable and scientifically-validated cognitive assessment report in as little as 15 minutes.