Director, Revenue Cycle Management

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

📋 Description

• Oversee the offshore Revenue Cycle Management (RCM) vendor to guarantee prompt billing, collections, and the completion of month-end processes.

• Identify potential risks and compliance issues.

• Provide education to teams regarding new billing guidelines and updates in telehealth and behavioral health practices.

• Work closely with the compliance team to ensure all regulatory requirements are met.

• Develop and enhance reporting for revenue cycle management KPIs.

• Direct the daily operations and priorities of the billing, financial coordination, and financial counseling teams to maintain high employee satisfaction and productivity levels.

• Train and inform team members on revenue cycle management best practices and industry benchmarks to enhance metrics and foster team accountability.

• Lead end-to-end claims revenue cycle transformation projects, including documentation and coding (optimizing current billing codes at Bicycle Health and advising on new codes for VBC and FFS contracts).

• Collaborate with Engineering, Product, and Operations teams to continually introduce automation in our claims billing processes across value-based and fee-for-service contracts, as well as identify and resolve any billing issues.

• Engage with Marketing, Payor Relations, Clinical Ops, Enrollment Coordination, CSS, etc., to strategize and execute upcoming payor launches.

• Manage the entire Revenue Cycle function, establishing new payment structures as our program offerings expand.

⛳️ Requirements

• Minimum of 10 years of experience in healthcare revenue cycle management.

• At least 5 years of supervisory experience.

• Certification in billing or coding is mandatory.

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

• Advanced skills in Excel and Google Sheets.

• Demonstrated persistence in interactions with payers.

• Experience collaborating cross-functionally with various teams.

• Proven experience in project managing internal initiatives.

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

• Basic knowledge of revenue integrity (e.g., CPT and ICD-10 coding) and documentation requirements for billing and compliance.

• Comfortable navigating the uncertainties of a fast-paced startup environment.

• Excellent written and verbal communication skills.

• Strong attention to detail, along with outstanding organizational and problem-solving abilities.

• Degree in health administration or a related field is preferred.

• Regular access to a private work environment with high-speed internet and professionally suitable surroundings for frequent video conferencing, along with a workstation setup conducive to remote work requirements.

🏝️ Benefits

• Discretionary PTO plus 8.5 additional sick days and 10 paid holidays.

• Paid parental leave.

• 100% Employer-Paid Employee Medical, Dental, and Vision Insurance.

• Employer-Paid Short-Term Disability (STD) and Long-Term Disability (LTD).

• 401k plan.

• $50 monthly stipend for remote work expenses.