Director, Revenue Cycle Management

🕒 Yesterday

🏄 California, Florida – Remote

🏄 California – Remote 🐊 Florida – Remote

⏳ Contract/Temporary

🔴 Lead

👔 Director

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MEDvidi

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2019

⚕️ Healthcare Insurance

☁️ SaaS

💰 $2.8M Seed Round on 2022-09

Healthcare Insurance • Mental Health • SaaS

MEDvidi is an online mental health treatment center aiming to make professional care accessible and affordable for everyone. The healthcare experts at MEDvidi provide personalized treatment plans for a variety of mental health conditions, including ADHD, anxiety, depression, insomnia, and OCD. With services that include initial assessments, ongoing support, and medication management through virtual consultations, MEDvidi seeks to enhance mental wellness with compassionate care tailored to individual needs.

📋 Description

• Build and implement end-to-end RCM workflows for a multi-state behavioral health telehealth practice • Select, configure, and own the practice management and billing platform • Establish clearinghouse relationships, claims submission workflows, and electronic remittance processes • Develop and maintain denial management taxonomy and resubmission processes by payer • Own payer credentialing and enrollment for all providers across target commercial payers • Ensure accurate use of behavioral health CPT codes per AMA guidelines and payer-specific billing rules • Oversee certified coder pre-submission review of all claims, ensuring E/M level accuracy • Monitor OIG Work Plan priorities for behavioral health and adjust internal audit protocols • Conduct state-level payer analysis identifying the top commercial payers by covered lives • Lead payer contracting conversations tracking negotiated rates and effective dates • Define staffing requirements for the RCM function and lead hiring of billing specialists • Maintain audit-ready credentialing files and claim documentation

🎯 Requirements

• Minimum seven years of progressive revenue cycle experience in a behavioral health, psychiatric, or substance use disorder practice or health system environment, this is a non-negotiable requirement • Demonstrated experience building or significantly rebuilding a revenue cycle operation from early-stage infrastructure, not solely managing an inherited program • Deep working knowledge of behavioral health CPT coding, including psychiatric evaluation codes, medication management E/M codes, and psychotherapy add-on codes • Hands-on experience with commercial payer credentialing and enrollment in a multi-provider, multi-state environment • Practical familiarity with MHPAEA requirements and the application of parity arguments in payer appeals • Working knowledge of telehealth billing regulations, including place-of-service requirements and interstate licensure considerations for telehealth claims • Experience selecting and implementing practice management, billing, and clearinghouse platforms in a behavioral health setting • Strong proficiency in denial management, root-cause analysis, and appeals processes specific to behavioral health payer denials • Demonstrated ability to develop provider documentation standards that support coding accuracy and audit defensibility • Strong working knowledge of HIPAA Privacy and Security Rule requirements as applied to billing and revenue cycle operations • U.S.-based with a dedicated, HIPAA-appropriate remote workspace

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development