Director, Revenue Cycle Management

🔥 19 hours ago

🇺🇸 United States – Remote

💵 $150k - $170k / year

⏰ Full Time

🔴 Lead

👔 Director

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Foodsmart

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

🧘 Wellness

🏪 Marketplace

Healthcare Insurance • Wellness • Marketplace

Foodsmart is a company focused on providing personalized nutrition support and affordable food care through the guidance of registered dietitians. It offers tools such as meal planning, food delivery via partnerships with Instacart, Grubhub, and Walmart, and a food marketplace that helps users save money on groceries. Foodsmart also works with health plans to offer nutrition services to its members, often at no extra cost.

📋 Description

• 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.

🎯 Requirements

• 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.