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PeopleShores is urgently hiring for customer service reps in Poplar Bluff.
If you are interested in an office job, with a typical work week of M-F, 8:30am to 5pm, then we hope you’ll apply.
We offer PAID TRAINING, so experience is not required, but you must know how to operate a personal computer and be very organized.
This is not sales. You will be assisting callers.
Operations Manager
Location: Poplar Bluff, MO
Position Summary:
Job Roles & Responsibilities
- Develop and execute innovative strategies to strengthen business delivery, operational stability, and collections performance.
- Establish and scale pilot RCM processes and implement data-driven strategies to enhance resolved claims.
- Demonstrate strong expertise in end-to-end Revenue Cycle Management (RCM) functions and KPI frameworks, including Prior Authorization, Insurance Verification, Denial Management, AR Follow-up, and Patient Billing.
- Possess in-depth understanding of downstream revenue cycle operations, including Payment Posting, AR Management, Denials, and Patient Financial Services.
- Understand operational nuances and regulatory requirements across diverse provider specialties.
- Ensure assigned portfolios consistently meet or exceed client SLAs and internal performance benchmarks.
- Lead, mentor, and develop management teams, strengthening business acumen and leadership capabilities of direct reports.
- Execute organizational policies, processes, and compliance requirements with consistency and accountability.
- Provide strong people leadership, managing teams of approximately 100–120 FTEs in high-performance environments.
- Demonstrate excellent verbal, written, and presentation skills for client communication and executive reporting.
- Conduct structured annual performance reviews and ongoing employee evaluations.
- Prepare and present weekly/monthly operational reports and dashboards using Excel and PowerPoint for internal and client stakeholders.
- Apply effective people management practices to foster collaboration, engagement, and win-win outcomes.
- Maintain strong focus on customer service excellence and optimized collections outcomes.
- Drive employee engagement, career development, and retention initiatives.
- Lead Monthly Business Reviews (MBRs) with clients and internal leadership.
- Oversee staffing models, workforce planning, and capacity management.
- Manage operational inventories and develop scalable delivery strategies.
- Monitor end-to-end process KPIs and ensure compliance with contractual SLAs.
- Demonstrate strong negotiation, persuasion, and stakeholder management skills to build trust and consensus.
- Collaborate effectively with cross-functional support teams including HR, IT, Quality, Compliance, and Training.
Candidate Requirements
- Minimum 5-8 years of end-to-end Revenue Cycle Management (RCM) experience with strong expertise in operational metrics and performance measurement.
- At least 3 years of experience in a managerial or leadership role, or currently holding a management position.
- Proven experience managing large teams of 100+ members in a high-volume operations environment.
- Demonstrated leadership capabilities, including the ability to plan, organize, and optimize human resources to achieve business objectives.
- Strong proficiency in MS Office applications, particularly Excel and PowerPoint, for reporting, analysis, and presentations.
- Preferred Qualification: Graduate in any discipline.
Benefits:
Benefits include medical insurance, paid leave and holidays, and a 401K
Team Leader - Operations
Location: Poplar Bluff, MO
Position Summary:
Job Roles & Responsibilities
- Coordinating Develop and execute innovative strategies to improve and secure business delivery.
- Able to establish pilot A/R process and devise strategy to improve collections.
- Strong understanding of revenue cycle management and KPIs standards set to optimize insurance collection. [Prior Authorization, Insurance Verification Team, Denial Management, etc.]
- Strong understanding of all downstream revenue cycle offices i.e. Payment Posting, AR Follow-up/Denial Management, & Patient Billing.
- Understands the eccentricities of various provider specialties.
- Ensure that the portfolio meets client and internal company performance benchmarks.
- Actively develops the management capabilities and business acumen of direct reporters, and drives the development of team members, ensuring full and well-rounded team competency.
- Ability to execute policies, processes and procedures of the organization.
- Excellent verbal and written communication and presentation skills.
- Experience of performing annual performance review/appraisals.
- Proficient in Excel and PowerPoint to create weekly reports, dashboards for both internal management and clients.
- Strong people management skills with fair understanding of required techniques to create win-win situations.
- Strong focus on Customer Service.
- Strong Employee Retention capabilities.
Candidate Requirements
- Minimum 4 years of Medical Billing Experience is AR Follow-up and Denial Management Process.
- Minimum 2+ year experience as a Team Leader.
- Demonstrated leadership capabilities, including ability to organize and manage human resources to attain goals.
- Expertise with MS Office tools like PowerPoint, Excel, etc.
- Preferred Qualification – Any Graduate
Benefits:
Benefits include medical insurance, paid leave and holidays, and a 401K
AR Follow Up & Denial Management RCM Agent
Location: Poplar Bluff, MO
Position Summary:
The AR Follow-up & Denial Management RCM Agent is responsible for timely resolution of unpaid and denied medical claims to maximize reimbursement and reduce AR aging. The role involves payer follow-ups, denial analysis, claim corrections, and appeal submissions while ensuring compliance with U.S. healthcare billing regulations.
Key Responsibilities
- Follow up on unpaid, underpaid, and denied claims with commercial, Medicare, and Medicaid payers
- Analyze denials, identify root causes, correct claims, and submit resubmissions or appeals
- Communicate with payers and internal teams (coding, billing, authorization) to resolve issues
- Maintain accurate documentation and comply with HIPAA and payer guidelines
- Meet productivity, accuracy, and turnaround time targets
Required Experience & Skills
- 3+ months of experience in AR Follow-up and/or Denial Management (U.S. healthcare RCM)
- Strong knowledge of claim life cycle, denial codes (CARC/RARC), and AR aging
- Working knowledge of EOB/ERA interpretation
- Experience with EMR/EHR, PM systems, and payer portals
- Strong analytical, communication, and documentation skills
Key KPIs
- AR days reduction
- Denial overturn rate
- First-pass resolution rate
- Net collection rate
- Productivity and quality scores
Pay: $15-$16/hr
Benefits:
Benefits include medical insurance, paid leave and holidays, and a 401K
RCM Agent Coding Specialist/Agent
Location: Poplar Bluff, MO
Position Summary:
The RCM Coding Agent is responsible for accurate assignment of ICD-10-CM, CPT, and HCPCS codes based on provider documentation to ensure compliant billing, timely reimbursement, and reduced claim denials.
Key Responsibilities
- Review clinical documentation and assign appropriate diagnosis and procedure codes
- Ensure coding accuracy, medical necessity, and compliance with CMS and payer guidelines
- Support denial prevention, re-coding, and audit activities
- Collaborate with billing, AR, and clinical teams to resolve coding issues
- Maintain documentation accuracy and HIPAA compliance
Required Experience & Skills
- 3+ months of experience in U.S. medical coding
- Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and NCCI edits
- Experience with EMR/EHR and practice management systems
- Coding certification (CPC, CCS, CCA, CIC) preferred
- High attention to detail and strong analytical skills
Key KPIs
- Coding accuracy rate
- Coding-related denial rate
- Productivity and turnaround time
- Audit compliance score
Pay: $15-$16/hr
Benefits:
Benefits include medical insurance, paid leave and holidays, and a 401K
Prior Authorization RCM Agent
Location: Poplar Bluff, MO
Position Summary:
The Prior Authorization RCM Agent is responsible for obtaining timely insurance authorizations for medical procedures, diagnostics, and treatments to prevent claim denials and ensure reimbursement. The role involves coordination with payers and provider teams while adhering to payer guidelines and compliance requirements.
Key Responsibilities
- Submit and track prior authorization requests with commercial, Medicare, and Medicaid payers
- Review clinical documentation and medical necessity prior to submission
- Follow up with payers via portals, phone, and electronic systems to meet TATs
- Communicate with providers to obtain missing or additional documentation
- Maintain accurate authorization records and ensure HIPAA compliance
Required Experience & Skills
- 3+ months of experience in Prior Authorization / Utilization Management (U.S. healthcare)
- Knowledge of payer authorization requirements and medical necessity guidelines
- Experience with EMR/EHR, PM systems, and payer portals
- Strong attention to detail and communication skills
Key KPIs
- Authorization approval rate
- Turnaround time (TAT) adherence
- First-pass accuracy
Authorization-related denial reduction
Pay: $15-$16/hr
Benefits:
Benefits include medical insurance, paid leave and holidays, and a 401K
Executive Training - RCM
Location: Poplar Bluff, MO
Position Summary:
The Executive – Training (RCM) is responsible for delivering, developing, and continuously improving training programs for employees involved in Healthcare Revenue Cycle Management. This role ensures employees are well-versed in RCM processes, compliance requirements, and best practices, while maintaining alignment with organizational goals and U.S. regulatory standards.
Key Roles & Responsibilities:
- Training Delivery: Conduct instructor-led and process-based training sessions for RCM employees. Ensure trainees gain a strong understanding of end-to-end RCM workflows [Prior Authorization, Insurance Verification Team, Denial Management, etc.] compliance standards, and quality expectations.
- Training Content Development: Develop, maintain, and update training manuals, SOPs, presentations, and job aids related to Revenue Cycle Management. Incorporate regulatory updates, operational changes, and industry best practices into training content.
- Training Needs Assessment: Partner with management and operational leaders to assess skill gaps and training needs. Recommend targeted training interventions to improve performance and compliance.
- Learning Methodology & Adaptation: Customize training delivery to accommodate different learning styles, experience levels, and roles. Utilize assessments, role plays, and practical exercises to reinforce learning.
- Feedback, Evaluation & Quality Improvement: Provide structured feedback and coaching to trainees. Measure training effectiveness through assessments, audits, and performance metrics Implement continuous improvements to training programs.
- Call Calibration & Quality Alignment: Participate in internal and external call calibration sessions. Ensure consistency in call evaluation, scoring standards, and quality benchmarks Provide insights to improve call handling and customer interactions.
- Compliance & Policy Execution: Execute and reinforce company policies, procedures, and regulatory requirements within training programs Ensure training delivery aligns with HIPAA, healthcare compliance, and client-specific requirements.
- Industry & Regulatory Awareness: Stay current with changes in healthcare RCM regulations, payor guidelines, and industry trends Proactively update training content to reflect new requirements.
Candidate Qualifications:
- Experience: Minimum 2+ years of experience as a Trainer for Provider Revenue Cycle Management.
- Education: Bachelor’s degree (any discipline) preferred
- Skills & Competencies: Excellent verbal and written communication skills. Strong presentation and facilitation abilities. Ability to adapt training techniques for diverse learning needs. Strong organizational and documentation skills. Collaborative mindset with the ability to work cross-functionally.
- Trainer Certification: Mandatory completion of internal certification process, including calling and quality evaluations.
- Future Growth Opportunities: Opportunity to progress into a Senior Executive – Training role based on performance, business requirements, and organizational growth.
Pay: $15-$16/hr
Benefits:
Benefits include medical insurance, paid leave and holidays, and a 401K