Senior Director, Revenue Cycle Management

🕒 Agosto 1

🥔 Idaho, Illinois, +8 estados a mais – Remoto

🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote 🧀 Wisconsin – Remote

💵 $150.000 - $190.000 / ano

⏰ Tempo Integral

🟠 Sênior

👔 Diretor

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Caravel Autism Health

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2009

💼 Consultoria

📦 Logística

⚕️ Seguro de Saúde

Consulting • Logistics • Healthcare Insurance

A Caravel Autism Health é uma organização dedicada a fornecer serviços abrangentes de terapia para crianças com autismo e suas famílias. Sua missão é transformar vidas por meio de intervenções especializadas, como avaliações diagnósticas, terapia ABA (Análise Comportamental Aplicada) e colaboração com cuidadores. Com foco na excelência clínica e utilizando uma plataforma de tecnologia proprietária, PathTap™, a Caravel Autism Health monitora o progresso e personaliza planos de terapia para garantir os melhores resultados para cada criança. Eles estão comprometidos em expandir o acesso a serviços de saúde para autismo em várias localidades geográficas, atendendo famílias tanto em áreas urbanas quanto rurais.

Descrição

• Provide strategic oversight and leadership across the full spectrum of revenue operations • Design and drive scalable workflows in authorizations, billing, accounts receivable, and collections to drive sustainable financial performance • Leverage data-driven insights to steer organizational policy and ensure company-wide compliance • Lead a high-performing team to ensure operational goals align with broader corporate financial objectives and regulatory requirements • Implement company-wide strategies to reduce Days in A/R, improve cash flow, and maximize net collection rates • Ensure the accuracy of payment postings, adjustments, and general ledger reconciliations • Design and oversee robust ABA-specific authorization workflows • Lead collaborative initiatives between clinical, finance, and compliance departments • Manage the strategy for private-pay invoicing and collections • Act as the primary escalation point and negotiator for high-level payer disputes • Govern the institutional application of CPT codes, modifiers, and payer-specific billing rules • Develop proactive systems to detect and recover underpayments • Establish and monitor executive KPIs to evaluate departmental health • Leverage RCM data and EHR reporting tools to identify macro-trends in payer behavior • Direct structured, trend-based denial prevention and appeals workflows • Lead the continuous improvement of the RCM tech stack • Drive the implementation of new payer mandates and system upgrades • Mentor and lead the billing and authorization teams

🎯 Requisitos

• High school diploma / GED equivalent required • Bachelor’s degree in business administration, health-related discipline, or equivalent professional experience preferred • Minimum of five years of healthcare, hospital, billing, and collection experience in a supervisory capacity • Extensive knowledge of technologies, specifically spreadsheet and word processing software and hospital and physician billing software • ABA experience preferred • Experience with CentralReach preferred • Experience with Medicaid billing for primary and secondary reimbursement • Experience with physician billing