Director of Revenue Cycle Management

🕒 Junho 12

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AnswersNow

SiteLinkedInTodas as Vagas

11 - 50 funcionários

🏥 Saúde

💼 Consultoria

⚕️ Seguro de Saúde

💰 $11.000.000 Series A em 2023-02

Healthcare • Consulting • Healthcare Insurance

AnswersNow é uma plataforma virtual dedicada a fornecer terapia de Análise do Comportamento Aplicada (ABA) para famílias, tornando o suporte de qualidade facilmente acessível. A empresa oferece cuidados personalizados e baseados em evidências, adaptados às necessidades individuais de crianças com autismo, conectando-os com analistas comportamentais certificados para sessões individuais. Comprometida em empoderar as famílias, a AnswersNow garante que a terapia possa ser realizada em um ambiente confortável e familiar, otimizando a experiência de cuidado sem longas filas de espera.

Descrição

• Own the strategy, performance, and scalability of the end-to-end revenue cycle, including authorizations, claims management, denial prevention, payment posting, and A/R operations. • Own key RCM performance metrics including net collection rate, denial rate, clean claim rate, cash collections, and days in A/R. • Lead initiatives to improve revenue capture, reduce reimbursement leakage, and optimize financial outcomes. • Collaborate with Product and Engineering teams to automate workflows, improve system integrations, and enhance operational efficiency. • Collaborate with Clinical Operations and Credentialing teams to ensure payer readiness, enrollment accuracy, and operational alignment. • Develop executive dashboards and reporting that provide visibility into financial and operational performance. • Contribute to organizational planning by forecasting operational needs and identifying opportunities for scalable growth. • Lead root-cause investigations into revenue cycle challenges and implement sustainable corrective actions. • Build, mentor, and develop a high-performing revenue cycle organization focused on accountability, continuous improvement, and collaboration. • Partner with executive leadership to establish and execute the long-term revenue cycle strategy supporting company growth objectives.

🎯 Requisitos

• 7+ years of progressive healthcare revenue cycle management experience. • 3+ years of leadership experience, ideally within behavioral health, ABA, mental health, telehealth, or closely related healthcare settings. • Deep understanding of commercial insurance, Medicaid, telehealth reimbursement, and multi-state payer operations. • Demonstrated success improving KPIs such as denial rates, net collection rates, clean claim rates, and A/R performance. • Experience building or scaling RCM operations in a high-growth or startup environment. • Strong analytical skills with experience leveraging data to identify root causes and drive operational improvements. • Experience partnering cross-functionally with Product, Engineering, Finance, and Operations teams. • Familiarity with healthcare technology platforms, billing systems, EHRs, and reporting tools. • Proven ability to lead, develop, and retain high-performing teams. • Excellent communication, prioritization, and stakeholder management skills.

🏖️ Benefícios

• Flexible hours with an async-friendly team culture