Director, Revenue Cycle Management

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🕒 vor 12 Tagen

🇺🇸 Vereinigte Staaten – Remote

💵 $110.000 - $135.000 / Jahr

⏰ Vollzeit

🔴 Experte

👔 Direktor

👻 Geisterscore 0%

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• Seit 12 Tagen offen.

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Oasis Health Partners

WebsiteLinkedInAlle Stellen

2 - 10 Mitarbeiter

Gegründet 2023

🏥 Gesundheitswesen

💰 Seed Round im 2023-01

Healthcare

Oasis Health Partners ist ein in Miami ansässiger, Medicare-zertifizierter Anbieter für häusliche Gesundheitsversorgung, der individuelle klinische Pflege und Unterstützung im eigenen Zuhause bietet. Das Unternehmen erbringt Leistungen in der professionellen Pflege, Infusionstherapie und durch Pflegehilfskräfte sowie ein breites Spektrum an Rehabilitationstherapien (Ergotherapie, Physiotherapie, Sprach- und Atemtherapie). Darüber hinaus gehören Ernährungsberatung, Krebs- und supportive Versorgung sowie soziale Dienste zum Angebot in den Counties Miami-Dade und Monroe. Oasis koordiniert die Versorgung mit Ärzten und nimmt Überweisungen per Fax und RightFax entgegen. Innerhalb von 24–48 Stunden nach einer Überweisung oder der Entlassung aus dem Krankenhaus führt das Unternehmen eine Einschätzung des Pflegebedarfs durch. Ein besonderer Schwerpunkt liegt auf der Koordination der Versorgung, um den administrativen Aufwand für Leistungserbringer im Gesundheitswesen zu reduzieren.

Beschreibung

• Direct all revenue cycle functions for MSO clients, including charge capture, coding, claim submission, payment posting, denials management, and accounts receivable follow-up • Develop and monitor KPIs including days in A/R, clean claim rate, denial rate, net collection rate, and first-pass resolution; report results to leadership and clients • Identify revenue leakage and implement process improvements to increase collections and reduce write-offs • Prepare and deliver monthly financial reports covering charges, collections, adjustments, denials, A/R aging, and payor mix • Report on practice financial outcomes, including revenue trends, provider productivity, and performance against budgets and benchmarks • Analyze variances and opportunities and present findings and recommendations to clients and Oasis Health leadership • Ensure reporting is accurate, timely, and consistent across clients • Lead, mentor, and develop a large distributed team of coders and billing staff • Oversee coding quality through audits, education, and feedback for compliance with CPT, ICD-10-CM, HCPCS, and payor-specific guidelines • Set productivity and accuracy standards, manage workloads, and build training programs • Review and interpret payor contracts and fee schedules; identify underpayments and reimbursement opportunities • Support or oversee provider enrollment and credentialing • Serve as escalation point for payor disputes, appeals, and reimbursement issues • Act as senior point of contact for client practices through video and phone meetings; review results, recommendations, and resolve concerns • Support client onboarding and transitions, including workflow design and system setup • Use EMR and practice management systems, particularly athenahealth and eClinicalWorks, to optimize workflows, reporting, and billing configuration • Manage concurrent client implementations, system conversions, and process improvement initiatives from planning through delivery • Ensure adherence to HIPAA, CMS, and payer regulations, including secure handling of PHI in a remote environment, and support internal and external audits

🎯 Anforderungen

• 10+ years of progressive experience in medical coding and billing, with extensive hands-on knowledge of the full revenue cycle • Deep knowledge of payor contracts, reimbursement methodologies, and denial and appeals processes • Working knowledge of provider credentialing and payer enrollment • Experience with EMR and practice management systems • Experience preparing and presenting practice financial reports and analyzing financial performance • Demonstrated leadership of large coding or billing teams, ideally in a remote setting • Excellent project management skills and ability to prioritize in a fast-paced environment • Excellent written and verbal communication skills • High level of professionalism and ability to work directly with clients and executives • Self-motivated, with a secure home workspace and reliable high-speed internet • Prior experience in an MSO, billing company, or multi-practice environment preferred • Experience with athenahealth and eClinicalWorks (eCW) preferred • CPC, CCS, CRCR, or similar certification preferred • Experience with value-based care or multi-specialty practices preferred • Bachelor's degree in healthcare administration, finance, business, or a related field preferred • Must be authorized to work in the United States without current or future visa sponsorship • Must currently reside in the United States

🏖️ Vorteile

• Medical insurance • Dental insurance • Vision insurance • 401(k) • Generous time off plans • Professional development program beginning with onboarding and continuing throughout your career • Remote work environment • Secure home workspace and reliable high-speed internet required for remote work

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