Director of Revenue Cycle Management

🕒 2 dias atrás

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $120.000 - $150.000 / ano

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Finni Health (YC W23)

Finni Health (YC W23)

501 - 1000 funcionários

Fundada em 2022

⚕️ Seguro de Saúde

📚 Educação

Healthcare Insurance • Mental Health • Education

A Finni Health é uma fornecedora nacional de serviços especializados de ABA (Análise do Comportamento Aplicada) e cuidados com a saúde mental projetados para famílias que lidam com o autismo. Ao conectar as famílias com terapeutas altamente qualificados, a Finni oferece suporte personalizado que inclui serviços em casa ou na clínica, agendamento flexível e definição de metas lideradas pela família. Com um compromisso com o cuidado baseado em resultados, a Finni é dedicada a melhorar a vida das crianças com autismo e de suas famílias através de terapias dedicadas que aprimoram as habilidades de vida diária, comunicação e regulação emocional.

Descrição

• Optimize revenue cycle operations as Director of Revenue Cycle Management. • Research root causes of denials and implement workflows for revenue recovery. • Oversee claim processing and manage external billing vendors. • Performance manage a team of claims specialists to prioritize denials. • Architect standard operating procedures (SOPs) for billing and coding workflows. • Drive strategies to maximize net collections and minimize Days in A/R. • Collaborate with various teams to ensure clean data flow from intake to reimbursement. • Maintain compliance with billing rules and audit readiness.

🎯 Requisitos

• 7+ years of relevant experience in revenue cycle management, RCM operations, or related roles, preferably in an early-stage startup, behavioral or mental health, or healthcare tech. • Strong understanding of RCM processes, including billing, claims, collections, denial appeals, and accounts receivable management. • Proven ability to work effectively within a team environment, contributing to collective success, and independently driving RCM initiatives. • Deep understanding of the full revenue cycle, including billing, claims processing, collections, accounts receivable management, payer contracting, and compliance (e.g., CMS billing). • Strong ability to analyze complex RCM data, identify trends, root causes of issues, and implement effective, data-driven solutions to optimize financial performance. • Demonstrated expertise in identifying inefficiencies and driving process improvements for RCM efficiency and effectiveness. • Excellent written and verbal communication skills, with proven ability to effectively collaborate with internal teams and external stakeholders (payers, vendors, providers). • Exceptional organizational and time management skills, with the ability to manage multiple priorities and projects in a fast-paced environment. • Proficient in Google Suite, Slack, CRM/support software, and EHR/RCM management tools. Experience with various EMR/EHR work queue management within RCM is a plus. • Passion for Finni’s mission to democratize autism care and empower providers through robust RCM. • Comfortable thriving in a dynamic, fast-paced startup environment, embracing change, and navigating ambiguity with a proactive mindset.

🏖️ Benefícios

• Offers Equity

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