Director of Revenue Cycle Management

🕒 Setembro 24

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $118.000 - $132.500 / ano

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

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Workit Health

SiteLinkedInTodas as Vagas

201 - 500 funcionários

Fundada em 2014

🏥 Saúde

👥 B2C

💰 $262.289 Grant - Workit Health em 2025-01

Healthcare • B2C

A Workit Health é uma provedora de tratamento para dependência 100% online que oferece cuidados baseados em evidências por meio de um aplicativo móvel e consultas de telemedicina com profissionais licenciados (assistentes de médico e enfermeiros praticantes). A empresa oferece medicação para tratamento de dependência (MAT) — incluindo medicamentos aprovados pela FDA como buprenorfina/Suboxone para transtorno de uso de opioides e naltrexona para transtorno de uso de álcool — além de programas para dependência de Kratom/7‑OH e suporte para condições coexistentes (ansiedade, depressão, insônia, hepatite C, PrEP). A Workit enfatiza o acesso rápido (a maioria dos membros inicia o tratamento em poucos dias), custos mais baixos com seguro, cuidado clínico com foco em redução de danos, mensagens contínuas e grupos de recuperação, e publica resultados por meio de sua equipe de pesquisa Workit Labs.

Descrição

• Lead, coach, and mentor billing team managers, building leadership capability, succession plans, and team engagement across sub-departments • Cascade strategic organizational goals into clear team KPIs, establishing manager-level accountability and performance metrics • Oversee workforce planning, capacity modeling, and resource allocation to support scaling operations • Serve as the primary internal escalation point for complex operational, interdepartmental, or personnel issues • Own end-to-end revenue cycle management operations, including claims management, payer follow-up, appeals, denials, and write-offs, across fee-for-service and value-based contracts • Monitor operational KPIs and benchmarks and establish departmental SOPs for continuous process improvement • Lead data reviews and deliver weekly operational reporting and monthly RCM metric updates to leadership • Direct the full payer onboarding lifecycle, including market research, contract applications, CAQH maintenance, re-credentialing, and delegated credentialing • Train and upskill managers on contracting, credentialing, and compliance best practices • Partner with RCM leadership, Product, and Engineering to prioritize, design, and implement claims automation initiatives • Coordinate with executive leadership to drive strategic payer launches • Execute high-priority strategic and operational projects aligned with long-term RCM leadership objectives

🎯 Requisitos

• CPC and/or CPB required • At least 5 years of experience in healthcare leadership • Expertise in telemedicine billing and coding for SUD/OUD/G Codes • Comfortable leveraging AI tools and emerging technologies to optimize workflows, analyze data, and drive efficiency • Strong analytical skills with the ability to interpret complex data, extract actionable insights, and guide data-informed decision-making • Advanced Excel/Google Sheets skills • Proven experience managing, mentoring, and leading lower-level managers or team leads • Demonstrated expertise in synthesizing metrics into clear, executive-level reports and dashboards • Persistence when working/communicating with payers • Experience working cross-functionally with different teams • Experience project managing internal projects • Working knowledge of industry best practices in Revenue Cycle processes: billing, charge capture, contractual adjustments, third-party reimbursements, and collections and cash management • Fundamental knowledge of revenue integrity, including CPT and ICD-10 coding, and documentation requirements for billing and compliance • Comfortable working with the ambiguity of a fast-paced company environment • Exceptional written and verbal communication skills • Attention to detail, exceptional organizational and problem-solving skills

🏖️ Benefícios

• Fully remote work • 5 weeks PTO (includes your birthday, 2 mental health days, and 2 floating holidays!) • 11 paid holidays • Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs • 12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families) • 401k + 4% matching • Healthcare & dependent care Flexible Spending Accounts (FSA & DCFSA) • Health Savings Accounts (HSA) • Employee assistance program, complete with financial coaching and counseling sessions • Professional development allowance for Providers and Behavioral Health team • Opportunities for internal mobility and growth at a Company with a proven track record of really promoting internally • Vibrant, democratized culture with clubs and multiple ERG groups