RCM Director

🕒 Agosto 26

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

👻 Score fantasma 25%

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Thriveworks

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2008

💼 Consultoria

🛡️ Seguros

⚖️ Jurídico

Consulting • Insurance • Legal

Thriveworks é uma provedora líder de serviços de saúde mental, oferecendo uma ampla gama de opções de terapia, incluindo terapia individual, terapia de casais/casamento, terapia familiar e terapia para crianças/adolescentes. Com mais de 2. 200 profissionais licenciados em 340 locais nos EUA, a Thriveworks oferece sessões de terapia tanto presenciais quanto online, sob medida para atender às necessidades únicas dos clientes. Eles aceitam a maioria dos principais planos de saúde, garantindo acesso a cuidados de saúde mental para diversos desafios, como ansiedade, depressão e questões relacionais.

Descrição

• Lead patient accounts receivable and credit balance workflows to improve collections, reduce aging, and ensure timely resolution and refunds • Monitor performance, identify root causes of non-payment, and implement process improvements and reporting • Lead the transition of eligibility and billing call workflows to RCM • Develop processes, SOPs, training materials, call scripts, decision trees, and knowledge resources • Partner with cross-functional teams to ensure appropriate staffing, service coverage, and continuous improvement • Support AR workflows and initiatives to reduce eligibility, coverage, and authorization denials • Analyze denial and payer trends, implement corrective actions, and collaborate with internal teams and vendors to resolve recurring issues • Oversee write-off governance to ensure write-offs are appropriate and minimized • Develop and deliver training, SOPs, and communication materials to support process changes and operational consistency • Develop strategies to improve cash flow, reduce AR days, and strengthen revenue integrity • Build and monitor KPIs for AR, denials, write-offs, and payer performance • Identify automation and process improvement opportunities and lead cross-functional initiatives to improve efficiency and results • Oversee internal RCM staff and the outsourced RCM vendor, ensuring consistent execution, compliance, and measurable financial performance

🎯 Requisitos

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field • 7+ years of progressive RCM leadership experience, including insurance AR and denial management • Experience managing outsourced RCM vendors or BPO partners • Strong understanding of payer policies, regulatory requirements, and multi-state billing environments • Proven ability to lead teams, manage change, and drive measurable financial outcomes • Excellent analytical, communication, and problem-solving skills • Strategic thinking with strong operational execution • Strong Patient Collections Knowledge • Ability to manage a Patient Billing Call Center to improve communications and the patient journey • Proven ability to improve the Insurance Benefits Verification process • Data-driven decision-making • Process improvement and workflow optimization • High accountability and ownership mindset • Applicants must be legally authorized to work in the United States at the time of hire • This position is not eligible for employment visa sponsorship, either now or in the future

🏖️ Benefícios

• An amazing team culture • Healthcare, Dental, Vision, and life insurance benefits • 401K with 3% employer match • Paid time off and paid holidays • Short Term Disability coverage • Long Term Disability coverage • Group Accident Insurance • Professional development & advancement opportunities