Director, Revenue Cycle Management

🕒 Maio 5

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $150.000 - $170.000 / ano

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

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Foodsmart

SiteLinkedInTodas as Vagas

51 - 200 funcionários

⚕️ Seguro de Saúde

🧘 Bem-estar

🏪 Marketplace

Healthcare Insurance • Wellness • Marketplace

A Foodsmart é uma empresa focada em oferecer suporte nutricional personalizado e cuidado alimentar acessível através da orientação de nutricionistas registrados. Oferece ferramentas como planejamento de refeições, entrega de alimentos via parcerias com Instacart, Grubhub e Walmart, e um marketplace de alimentos que ajuda os usuários a economizar em compras de supermercado. A Foodsmart também trabalha com planos de saúde para oferecer serviços de nutrição aos seus membros, muitas vezes sem custo adicional.

Descrição

• Own the end-to-end collections process: develop, maintain, and be held accountable for high-accuracy collections forecasts, ensuring senior leadership has clear visibility into cash flow. • Build and enforce a high-discipline collections engine from the ground up. This includes (but is not limited to) standardizing recovery cadences, eliminating revenue leakage points, and institutionalizing a "zero-loss" mentality to achieve and maintain best-in-class net collection rates. • Identify bottlenecks and design/implement workflows that aggressively reduce denials and shorten the AR lifecycle. • Strategically partner with the growth teams during contract negotiation to set up clients for success. • Serve as the ultimate "closer" for complex billing disputes, working directly with health plan partners to resolve systemic payment issues and negotiate favorable settlements. • Act as the primary point of escalation for clients, translating complex billing hurdles into clear, actionable updates, building trust through relentless transparency and results. • Partner with Finance, Legal, and Ops to ensure billing strategies are perfectly synced with company growth. • Drive the team’s KPIs. You will track recovery rates and payer behavior, using data to pivot strategies in real-time. • Lead the team who manages the end-to-end customer billing processes and experience and all billing communications, ensuring a seamless process for both patients and health plans.

🎯 Requisitos

• 8+ years of expertise in revenue cycle management, with 2-3 years of management experience. • Exceptional negotiation and conflict-resolution skills; experience working closely with health plan partners to resolve payment issues favorably. • Deep expertise with CMS regulations and commercial payer behaviors. • Experience working with different EMR and RCM softwares, as well as a diverse set of health plan portals; system migration experience a plus. • Tangible outcomes throughout your career and proven curiosity to enhance systems and processes for improved claims collections and data visibility.

🏖️ Benefícios

• Remote-First Company • Unlimited PTO • Flexible & remote location • Healthcare Coverage (Medical, Dental, Vision) • 401k & bonus • Registered Dietitian Sessions