Director of Revenue Cycle Management

🕒 3 dias atrás

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Boulder Care

SiteLinkedInTodas as Vagas

51 - 200 funcionários

🏥 Saúde

⚕️ Seguro de Saúde

🧘 Bem-estar

Healthcare • Healthcare Insurance • Wellness

A Boulder Care é uma provedora de saúde especializada em telemedicina para tratamento de dependência. Eles se concentram em abordar o transtorno de uso de substâncias, incluindo dependências de opioides e álcool, através de um cuidado compassivo e integral, oferecido por meio de um aplicativo móvel seguro. A Boulder Care combina tratamentos baseados em evidências com equipes de apoio dedicadas, incluindo especialistas em dependência e especialistas em recuperação de pares, que ajudam os pacientes a personalizar seus planos de tratamento com base em objetivos individuais. Sua abordagem enfatiza a acessibilidade, apoio não punitivo e defesa dos direitos das pessoas que enfrentam a dependência.

Descrição

• Lead and optimize Boulder Care's end-to-end revenue cycle operations to maximize cash collections and support sustainable financial performance • Supervise the Revenue Cycle Manager and provide strategic leadership over patient billing, coding, collections, payer operations, revenue integrity, and revenue cycle analytics • Own partnerships with Candid and other technology vendors to optimize system functionality and automate workflows • Oversee charge capture, coding support, claims management, payment posting, denials management, appeals, collections, and revenue integrity • Develop initiatives to improve revenue cycle performance, cash flow, and operational efficiency • Establish revenue cycle goals and KPIs and foster accountability, continuous improvement, and customer service • Advise the Controller and executive leadership on reimbursement trends, payer performance, cash flow optimization, and revenue cycle risks • Monitor dashboards and analytics; analyze revenue, collections, denial rates, aging, reimbursement, and payer performance • Improve net collections and reduce revenue leakage • Partner with Accounting on monthly close, revenue recognition, accounts receivable valuation, allowance methodologies, and audit support • Support budgeting, forecasting, and financial planning for revenue operations • Ensure billing and collection compliance with healthcare regulations, Medicare, Medicaid, payer contracts, HIPAA, internal policies, and GAAP controls • Partner with Compliance and Legal on reimbursement-related regulatory changes • Evaluate workflows and implement Lean or other continuous improvement methodologies • Partner with Product, Engineering, and Technology on automation and system functionality • Oversee third-party billing vendors and outsourced revenue cycle partners • Ensure timely resolution of payer issues and escalated billing concerns • Coach, mentor, and develop revenue cycle leaders and staff; establish expectations and conduct performance evaluations • Build succession plans and support employee development • Collaborate with Accounting, FP&A, Clinical Operations, Credentialing, Provider Operations, Compliance, Product, and Engineering • Support new payer contracts, clinical programs, and operational initiatives • Present revenue cycle performance, strategic initiatives, and operational metrics to Finance leadership and executive management

🎯 Requisitos

• 8+ years of progressive healthcare revenue cycle experience • 4+ years of leadership experience managing revenue cycle teams • Strong understanding of healthcare reimbursement methodologies, commercial insurance, Medicare, Medicaid, and value-based reimbursement models • Experience managing denials, collections, payer relationships, and revenue integrity initiatives • Strong financial acumen and ability to interpret operational and financial metrics • Experience with healthcare billing systems and electronic health records (EHRs) • Excellent analytical, communication, leadership, and relationship management skills • Bachelor's degree in Accounting, Finance, Healthcare Administration, Business Administration, or related field preferred • Experience with startups, behavioral health, substance use disorder treatment, or value-based care preferred • Experience with Candid or similar web-based healthcare billing applications preferred • Experience with Athenahealth, Salesforce, or similar healthcare platforms preferred • Knowledge of ASC 606 revenue recognition and GAAP financial reporting preferred • HFMA CRCR, CHFP, or other relevant healthcare revenue cycle certifications preferred • Ability to sit and/or stand for extended periods • Ability to look at a computer screen for extended periods to prepare and analyze data, transcribe information, and read • Final candidates must undergo background checks and provide professional references

🏖️ Benefícios

• Comprehensive medical, dental, vision, and short-term disability benefits • Mental Health Services via insurance coverage, including Talkspace and EAP • 4 weeks of vacation accrued per calendar year, increasing to 5 weeks at 2 years of employment • Sick leave accrued at 1 hour for every 30 hours paid • 9 paid holidays per year • 12 weeks of 100% paid parental leave after 6 months of employment • 401(k) retirement savings • Remote-friendly work arrangement • Hardware provided to complete work duties • Opportunity to contribute to meaningful, life-saving work