Director of Revenue Cycle Management

This is a fully remote position, open to applicants in United States.

📋 Description

• Lead, mentor, and coach billing team managers to enhance leadership skills, develop succession plans, and boost team engagement across various sub-departments.

• Translate strategic organizational goals into clear team KPIs, establishing accountability and performance metrics at the manager level.

• Manage workforce planning, capacity modeling, and resource allocation to support the scaling of operations.

• Act as the primary internal escalation point for complex operational, interdepartmental, or personnel issues.

• Oversee comprehensive revenue cycle management operations, including claims management, payer follow-up, appeals, denials, and write-offs for fee-for-service and value-based contracts.

• Track operational KPIs and benchmarks while developing departmental SOPs for ongoing process improvement.

• Conduct data reviews and provide weekly operational reports and monthly RCM metric updates to leadership.

• Lead the entire payer onboarding process, encompassing market research, contract applications, CAQH maintenance, re-credentialing, and delegated credentialing.

• Educate and enhance the skills of managers in contracting, credentialing, and compliance best practices.

• Collaborate with RCM leadership, Product, and Engineering to prioritize, design, and implement claims automation initiatives.

• Work alongside executive leadership to facilitate strategic payer launches.

• Implement high-priority strategic and operational projects that align with long-term RCM leadership goals.

⛳️ Requirements

• CPC and/or CPB certification is required.

• Minimum of 5 years of experience in healthcare leadership.

• Proficiency in telemedicine billing and coding for SUD/OUD/G Codes.

• Comfortable utilizing AI tools and emerging technologies to enhance workflows, analyze data, and improve efficiency.

• Strong analytical abilities to interpret complex data, derive actionable insights, and support data-driven decision-making.

• Advanced skills in Excel and Google Sheets.

• Demonstrated experience in managing, mentoring, and leading lower-level managers or team leads.

• Proven expertise in converting metrics into clear, executive-level reports and dashboards.

• Persistent in communication and interaction with payers.

• Experience collaborating cross-functionally with diverse teams.

• Background in project management for internal projects.

• Working knowledge of industry best practices in Revenue Cycle processes, including billing, charge capture, contractual adjustments, third-party reimbursements, and collections and cash management.

• Fundamental understanding of revenue integrity, including CPT and ICD-10 coding, as well as billing and compliance documentation requirements.

• Ability to navigate the uncertainties of a fast-paced company environment.

• Exceptional written and verbal communication skills.

• Strong attention to detail, outstanding organizational capabilities, and problem-solving skills.

🏝️ Benefits

• Fully remote work.

• 5 weeks of PTO (including your birthday, 2 mental health days, and 2 floating holidays!).

• 11 paid holidays.

• Comprehensive health, dental, pharmacy, and vision insurance with options tailored to fit your family's needs.

• 12 weeks of paid Parental Leave after 1 year of employment (covering maternity, paternity, adoption, and all avenues for building modern families).

• 401k with 4% matching.

• Flexible Spending Accounts (FSA & DCFSA) for healthcare and dependent care.

• Health Savings Accounts (HSA).

• Employee assistance program, including financial coaching and counseling sessions.

• Professional development allowance for Providers and the Behavioral Health team.

• Opportunities for internal mobility and growth within a Company known for promoting from within.

• A vibrant, inclusive culture with clubs and multiple ERG groups.