Rev Cycle Customer Success Manager

🕒 Fevereiro 23

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Flagler Health

SiteLinkedInTodas as Vagas

11 - 50 funcionários

Fundada em 2023

🏥 Saúde

🤖 Inteligência Artificial

⚕️ Seguro de Saúde

Healthcare • Artificial Intelligence • Healthcare Insurance

A Flagler Health é uma empresa inovadora de tecnologia de saúde que capacita os provedores de saúde ao aproveitar a inteligência artificial para aprimorar as operações clínicas e administrativas. Suas soluções de IA, como o Motor de Triagem de IA, agilizam os processos de atendimento ao paciente, melhoram os resultados dos pacientes e garantem um agendamento eficiente. A Flagler Health foca em otimizar a experiência de saúde por meio de insights orientados por dados, gestão de cuidados crônicos e monitoramento remoto, permitindo que os provedores ofereçam um atendimento mais personalizado aos seus pacientes.

Descrição

• Work directly with the CEO, Head of Business Operations, and Head of Clinical Operations to own dozens of relationships with provider groups, ensuring customer satisfaction and retention. • Serve as the primary point of contact and subject matter expert for all RCM-related questions, issues, and escalations from provider partners. • Onboard new customers, ensuring fast, smooth implementation of Flagler's tech platform and services - including integration touchpoints with in-house staff and third-party billing vendors. • Manage and monitor third-party billing partner relationships on behalf of customers, holding vendors accountable to performance benchmarks and SLAs. • Oversee and advise on front-end RCM operations, including prior authorizations, insurance eligibility verification, and patient benefit checks to minimize claim denials at the source. • Monitor and guide back-end RCM operations, including accounts receivable (AR) work-down, denial management, appeals, and collections follow-up. • Create and present monthly reports to customers demonstrating Flagler's impact on clinical and financial outcomes - critical to the core operations and growth of the business. • Identify revenue leakage and reimbursement gaps across the patient journey and collaborate with customers and billing partners to remediate. • Gather and relay RCM and operational feedback from customers to Flagler leadership to inform product development. • Collaborate with sales and tech teams to ensure a seamless customer journey. • Respond to and resolve ad hoc clinic and patient requests efficiently, enhancing their overall experience.

🎯 Requisitos

• 7–10 years in RCM leadership or customer-facing revenue operations roles within MSK, orthopedic, or procedural specialties, with hands-on experience managing third-party billing vendors - including performance oversight, SLA enforcement, and escalation resolution. • Deep working knowledge of RCM in procedural specialties (MSK/Ortho/Pain), including front-end and back-end revenue optimization, denial management strategy, and vendor performance oversight. • Expertise designing and implementing RCM technologies to augment practice-specific workflows. • Full-cycle RCM fluency: front-end (prior authorizations, eligibility verification, benefits investigation, pre-certification) through back-end (AR work-down, denial management, appeals, aging bucket strategy, and collections). • Strong working knowledge of coding and billing as it applies to pain management and orthopedics - CPT, ICD-10-CM/PCS, HCPCS Level II, modifier usage (e.g., 25, 59, XU, LT/RT), bundling edits, and global period policies. The ability to diagnose coding-related revenue issues is essential; production coding is not. • Professional coding certification (CPC, CCS, COC or equivalent) and/or a degree in Health Information Management is a plus, as are specialty credentials such as COSC or CASCC. • Ability to translate RCM performance data into executive-level insights and strategic action plans for provider partners. • Comfortable building and interpreting RCM dashboards (days in AR, denial rate, clean claim rate, collection rate) and driving accountability across internal and external stakeholders. • Proven ability to manage complex, multi-stakeholder projects independently, prioritize competing deadlines, and deliver results without hand-holding. • Strong communicator and relationship builder - equally effective presenting monthly performance reports to practice administrators and rolling up your sleeves on a client site visit. • Strong-willed team player who is open to feedback, adapts quickly, and thrives in a fast-paced, startup environment. • Comfortable with Google Drive and/or Microsoft Office. • Familiarity with common EHRs, practice management systems, and clearinghouses.

🏖️ Benefícios

• Adjusted comp - Competitive salary & meaningful equity • Benefits - Unlimited PTO • Fully-distributed culture - We are remote first; live and work where you'd like, with an NYC office for folks who want to work together • Ownership - You'll be our go-to for lots of things • Growth - You will learn a lot, very quickly