Director of RCM Operations
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Director of RCM Operations overseeing billing and collections for Rethink Behavioral Health. Leading a high-performance team while ensuring HIPAA compliance and operational excellence.
Responsibilities:
- Ensure strict HIPAA-compliant confidentiality with all client-related data
- Build and oversee A/R team to manage assigned accounts and mitigate AR backlog
- Oversee QA manager & work closely with QA team to improve program and processes developed for RCM team across functions
- Assist in developing strategic plans/programs to enhance RCM functionality to exceed the goals/objectives assigned to the RCM team.
- Delineate, define, and streamline functional activities, ensuring maximum utilization of all resources in the US and India.
- Travel to India to meet with the team at least twice a year.
- Assist in identifying, analyzing, and addressing challenges and/or breakdowns in the processes across the RCM Team
- Oversee Vendor productivity and performance, including management of procedures and workflows
- Make recommendations to Rethink leadership to address and improve our customer’s experience.
- Aid in account escalations from management and clients to ensure a timely resolution is reached & communicated when needed
- Assist in monitoring/updating project plans surrounding key initiatives for the RCM team and assure deadlines/goals are being met
- Assist in monitoring/updating internal and external reporting requirements.
- Regularly provide VP of Revenue Cycle Management with status updates including account escalations, weekly KPI reporting, staffing concerns and quality assessments
- Assist in the development and execution of growth strategy initiatives (e.g. Integrated Billing system roll-out, acquisition integration) to achieve RCM revenue targets
- Evaluate Vendor performance, provide feedback and deliver/monitor action plans
- Identify and implement process improvements and workflow automation of RCM functions
- Interview candidates, as needed
- Other special projects/assignments as needed
Requirements:
- Minimum 7 years of experience with demonstrated expertise in successfully managing a high-performance RCM operation while meeting or exceeding industry benchmarks
- Minimum 7-10-years Insurance Billing experience which includes knowledge of ICD-10 and CPT guidelines
- Experience managing or closely working with offshore teams/vendors.
- Experience working with a team in India is strongly preferred.
- ABA (Applied Behavior Analysis) billing experience
- Strong knowledge of billing software, preferably Tebra, Azalea and Central Reach
- Strong, in-depth knowledge of revenue cycle management principles and practices; including medical billing, coding, collections, managed care products, regulatory compliance, payor credentialing, and financial reporting
- Exceptional written and oral communication skills
- Exceptional attention to detail and accuracy
- Positive & Development-oriented
- Must be a “Hands-on” Leader working with clients and internal teams.
- Strong leadership qualities
Benefits:
- Three weeks of paid time off, in addition to 7 paid holidays
- Generous Health, Dental & Vision benefits package
- 401k eligible after a year of employment
Similar Jobs
Koordinator – Kooperationspartnerakquise Pflegeschulen
Koordinator für die Partnerakquise in der Pflegebranche mit Fokus auf Netzwerken und Kooperationen. Flexible Arbeitszeit in Teilzeit mit modernster Ausstattung und digitalen Skills.
Operations Manager
Operations Manager maintaining financial operations, compliance, and record-keeping for a web data infrastructure company. Driving process improvements and collaborating with leadership across various functions.
Senior Operations Manager
Senior Operations Manager overseeing compliance and operational support for property management operations. Managing legal, eviction processes, and administrative support at Darwin Homes.
Operations Analyst
Operations Analyst supporting multiple portfolio management tasks at Darwin Homes. Collaborating with teams on data analysis and reporting while working fully remote.
Manager, DFR Field Operations
Manage installation teams and ensure successful deployment of BRINC's Drone as First Responder program. Lead operations while fostering customer relationships and team culture.
Payment Operations Specialist
Payment Operations Specialist responsible for managing daily payment flows and reconciliations. Collaborating with technology-driven teams to solve customer business problems in a fintech environment.
Senior Growth Strategy – Operations Analyst
Senior Growth Strategy & Operations Analyst at SafeRide Health shaping pricing and client strategy for vulnerable populations. Collaborating with leadership to improve healthcare access through data-driven insights.
Operations Coordinator
Operations Coordinator providing administrative support to the Head of Small Clubs at Live Nation Entertainment. Assisting in scheduling, expense management, and project coordination.
Director, Provider Network and Operations
Director of Provider & Network Operations at Community Health Options. Overseeing provider relations, contracting, and network performance to meet company objectives.
Revenue Specialist III – Credits
Revenue Specialist analyzing payor behavior and resolving credit issues at scale for DaVita, a leading kidney care provider in the U.S. Collaborating with teams to eliminate systemic credit inflow
Associate Analyst, Business – ROPS
Associate Analyst responsible for resolving complex revenue cycle issues at DaVita. Engaging in data analysis, project management, and collaboration with business partners.
Territory Operations Manager
Territory Operations Manager at Orthofix managing documentation and patient interactions. Supporting Territory Managers and ensuring timely order completion while upholding ethical conduct.
Principal, Operations, Market Presence
Senior Operations leader establishing global Market Presence capability through planning and vendor management. Creating structured workflows and efficient vendor engagement for business units.
Specialist - Operation & Optimization of PV Systems – Part-time
Support for operating and optimizing photovoltaic and battery storage systems at Swiss Renewable Solutions AG. Role involves performance monitoring and optimization initiative development.
Administrative Coordination and Operations Management
Operations Coordinator for Huppée agence créative handling documentation and project tracking. Supporting the founder and ensuring organizational efficiency in a fast-paced environment.
Director, Global Operations
Director of Global Operations overseeing operational effectiveness and AI transformation efforts in global health organization. Leading cross-functional initiatives and managing diverse teams across multiple geographies.
Director, Franchise Operations – Advanced Hydration
Senior National Sales Executive responsible for developing relationships and driving brand sales in the beverage industry. Leading business planning and collaborating with key partners to foster growth.
CSSP Operations Training Lead
CSSP Operations Training Lead at Guidehouse developing comprehensive training programs aligned with mission needs. Coordinate sessions, track completions, and ensure workforce readiness in cybersecurity operations.
IT Operations Director
IT Operations Director leading Service Desk and Infrastructure Engineering at Sentinel Blue. Overseeing IT operations lifecycle, ensuring reliability and security across client environments.
Manager, Agency & Operations
Manager of Retail Media at Kraft Heinz focusing on shaping strategies and optimizing media agency partnerships. Overseeing operations for best-in-class retail execution with a strong emphasis on collaboration and performance.