Director, Revenue Cycle
Posted 11ds ago
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Job Description
Director of Revenue Cycle Management leading the revenue cycle operations at Amae Health. Creating and implementing processes for integrated care model for patients with severe mental illness.
Responsibilities:
- Design and implement RCM systems, policies, and procedures from the ground up, tailoring them to our unique startup environment.
- Lead and nurture a growing team, focusing on achieving strategic goals and fostering a culture of excellence and collaboration.
- Drive the strategic evolution of our RCM systems and processes, managing any system upgrades or vendor transitions
- Develop and oversee operational workflows and processes, enhancing efficiency, and productivity through innovative solutions.
- Review and understand payer contracts to understand payer requirements and advised on practices to maximize contract value
- Implement and monitor RCM best practices, track key performance indicators (KPIs), and devise strategies for operational excellence.
- Ensure compliance with industry standards and regulations, maintaining a secure and ethical work environment.
- Recruit, train, and mentor team members, establishing performance benchmarks and fostering professional development.
- Stay abreast of new technological developments in RCM and evaluate vendors and automation opportunities regularly
- Direct all aspects of the revenue cycle, including billing, claims submission, collections, and client billing processes, ensuring accuracy and timeliness.
- Collaborate with internal teams to refine RCM-related workflows and tools, ensuring clear communication and effective integration.
- Manage relationships with external vendors and evaluate third-party tools for enhancing RCM operations.
- Regularly analyze and report on RCM performance metrics, guiding strategic decisions to optimize financial outcomes.
Requirements:
- Minimum of 7 years in healthcare provider revenue cycle management, with a strong preference for behavioral health and telemedicine expertise. Experience in a growth stage organization required.
- Bachelor’s degree in Business, Healthcare Management, or a related field.
- Strong analytical skills for data interpretation and excellent communication abilities for diverse organizational levels.
- Proven experience in building and leading teams, including hiring and performance management.
- Deep understanding of professional fee billing, reimbursement, third-party payer regulations, and medical terminology.
- Ability to read and understand complex payer contracts and to effectively work with care teams to optimize revenue capture for services delivered
- Proficiency in Google Suite, advanced Excel/Google Sheets, and familiarity with multiple Practice Systems (e.g., Open PM, Theranest, Athena).
- Extremely organized and able to stay on top routine tasks and projects while navigating dynamic priorities
- Strong interpersonal skills and motivated to build relationships with other functional leaders across the company, ensuring aligned goals and collaborative processes
- Knowledge of the insurance landscape, especially mental health billing, and compliance requirements in healthcare.
- This is a fully remote role with travel expected 1-2 times annually for team offsites.
Benefits:
- Health Insurance: Comprehensive medical, dental & vision plans
- Competitive compensation
- Employee Assistance Program
- 401(k)
- FSA & HSA savings programs
- Short & long-term disability
- Pre-tax commuter assistance program
- Unlimited paid time off (PTO)
- Parental Leave - 12 weeks for birth and non birth parent
- 11 company holidays
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